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

PROVOST EYE GROUP, P.C.

Active Organization

PROVOST EYE GROUP, P.C. is a Optometrist organization located in ATLANTA, Georgia. NPI 1861507261 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ATLANTA, GA

Registration Details

NPI Number
1861507261
Provider Type
Organization
NPI Issued
Aug 19, 2006 (19.973559492624 yrs)
Last Updated
Jul 26, 2007
License
OPT002244 (GA)

Practice Information

Address
2900 CUMBERLAND MALL SE
ATLANTA, GA, 30339
Browse GA providers · Browse ZIP 30339
Phone
7704311713
Fax
7704311714
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in ATLANTA, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.