Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN MAMMOOTTIL JOHN, O.D.
ActiveSTEPHEN MAMMOOTTIL JOHN, O.D. is a Optometrist healthcare provider located in MARIETTA, Georgia. NPI 1275763062 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MARIETTA, GA
Registration Details
- NPI Number
- 1275763062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2009 (17.082509585517 yrs)
- Last Updated
- Mar 8, 2011
- Licenses
-
5872 (OH)2580 (GA)
Practice Information
- Address
-
3960 SHALLOWFORD RD#AMARIETTA, GA, 300625058Browse GA providers · Browse ZIP 30062
- Phone
- 7706424001
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. GARY C DUEY | O.D. | 1669470480 |
| LEONARD M THURSCHWELL | OD | 1881696763 |
| GREGG E RUSSELL | OD | 1487656237 |
| DR. JAMES MICHAEL BURNS | OD | 1831162106 |
| DR. BRIAN E SAUNDERS | OD | 1912974700 |
| DR. IVO HORAK | O.D. | 1396791935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.