Individual
DR. SUSAN MARIE REIMBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4180 OLD MILTON PKWY, SUITE 1-D, ALPHARETTA, GA 30005-2408
(770) 776-9000
Mailing address
4180 OLD MILTON PKWY, SUITE 1-D, ALPHARETTA, GA 30005-2408
(770) 776-9000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07526
SPECTERA PROVIDER
GA
01
—
14193
AVESIS PROVIDER
GA
01
—
40968
DAVISVISION PROVIDER
GA
Enumeration date
03/23/2007
Last updated
03/07/2023
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