Clarkson Optometry Georgia Inc
Organization Active NPI Optometrist · Braselton, GA
NPI 1811087208 · NPPES record last updated Jun 20, 2019
Key facts
- NPI
- 1811087208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT002307 (GA)
- Legal business name
- CLARKSON OPTOMETRY GEORGIA INC
- Practice address
- 5777 Old Winder Hwy
Braselton, GA 30517-1603 - Phone
- (636) 200-4393
- Fax
- (770) 965-5102
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- James Wachter
- Title
- Cmo
- Phone
- (636) 200-4393
Corporate family (same tax ID) 1
Practitioners 23
-
Ekram Ali, OD
-
Robert Baldwin, O.D.
-
Phi Phi Bang, O.D.
-
Brett S Bordner, OD
-
Kenyatta D. Brantley, O.D.
-
Meron Fantahun, OD
-
Emily Felouzis, OD
-
William Perry Giles Jr., O.D.
-
Reema Gosalia, O.D.
-
Mark A Gottlieb, O.D.
-
Jeffrey Scot Hackleman, O.D.
-
Steven Nguyen, OD
-
Olivia Oyegunle, OD
-
Nisha J Patel, O.D.
-
Deborah Marie Waddington, O.D.
-
Alicea Hill, O.D.
-
Mark A Kuhlman, OD
-
Roshani Patel, OD
National Provider Directory
- Tax ID family
- Clarkson Optometry Georgia Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT002307 | GA | Yes |
Addresses
Primary practice location
5777 Old Winder Hwy
Braselton, GA 30517-1603
Mailing address
PO Box 207173
Dallas, TX 75320-7173
Phone (636) 200-4393
Other names
- Eye Elements
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.