Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER A DATTOLO, O.D.
ActiveDR. JENNIFER A DATTOLO, O.D. is a Vision Therapy Optometrist healthcare provider located in WOODSTOCK, Georgia. NPI 1962596627 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · WOODSTOCK, GA
Registration Details
- NPI Number
- 1962596627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.883281752791 yrs)
- Last Updated
- Jun 9, 2016
- License
-
001878 (GA)
Practice Information
- Address
-
1075 BUCKHEAD XINGSUITE 130WOODSTOCK, GA, 301894262Browse GA providers · Browse ZIP 30189
- Phone
- 7707025996
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
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.