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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN AKPOCHA IDIALE, LDO

Active

BENJAMIN AKPOCHA IDIALE, LDO is a Optician, Dispensing healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1417484510 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · STONE MOUNTAIN, GA

Registration Details

NPI Number
1417484510
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2017 (9.1988759465812 yrs)
Last Updated
Jul 21, 2022
License
LDO002703 (GA)

Practice Information

Address
5226 STONE MOUNTAIN HWY STE B
STONE MOUNTAIN, GA, 300873455
Browse GA providers · Browse ZIP 30087
Phone
4045789117
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in STONE MOUNTAIN, GA

Name Credential NPI
MR. JEFFREY BURNETT SR. LDO 1629287214
GARY L HOWARD DISPENSING OPTICIAN 1578720470
ZARINAH N ROBINSON LDO 1982479515
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.