Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DIMA IVONNE CLANTON, LDO
ActiveOptician, Dispensing · ATLANTA, GA
Registration Details
- NPI Number
- 1366719957
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2011 (14.40499702107 yrs)
- Last Updated
- Nov 26, 2011
- License
-
LDO002424 (GA)
Practice Information
- Address
-
4166 BUFORD HWY NE STE S6-T5ATLANTA, GA, 303451081Browse GA providers · Browse ZIP 30345
- Phone
- 4048553888
- Fax
- 4048554388
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| THOMAS BLAIR JR. | LDO | 1447470992 |
| GAYE P BRYANT | L.D.O. | 1871787820 |
| DAVID FRANCIS MELDRUM | L.D.O. | 1033303086 |
| MR. TERRY WILLIAM BLANCHARD | L.D.O. | 1568602035 |
| JERRY PAGE | — | 1174820781 |
| MR. LEE COOK | L.D.O. | 1790059160 |
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.