Individual
DR. ALVINA QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3801 NORTHSIDE DR, MACON, GA 31210-2418
(478) 475-1600
(478) 475-1600
Mailing address
329 CARILLON LN, MACON, GA 31210-9711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03204
GA
152W00000X
Optometrist
5064
MA
152W00000X
Optometrist
5220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5220
FLORIDA STATE LICENSE
FL
01
—
OPTO03204
GEORGIA LICENSE NUMBER
GA
Enumeration date
11/18/2014
Last updated
08/14/2026
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