Individual provider · Type 1 NPI
Dima Ivonne Clanton, LDO
Optician · Atlanta, GA
NPI number
1366719957
Active
Practice location
4166 Buford Hwy NE Ste S6-T5
Atlanta, GA 30345-1081
Fax (404) 855-4388
Mailing address
2554 Gadsen Walk
Duluth, GA 30097-4349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician Primary | 156FX1800X | LDO002424 (GA) |
Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
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About NPI 1366719957
Dima Ivonne Clanton, LDO's National Provider Identifier is 1366719957, issued on Nov 26, 2011. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Atlanta, GA. The record was last updated on Nov 26, 2011.