Individual
MR. STUART R TASMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1545 POWERS FERRY RD SE STE 240, MARIETTA, GA 30067-9401
(770) 952-6412
(678) 369-7212
Mailing address
1415 WOOTEN LAKE ROAD, SUITE 100, KENNESAW, GA 30144-1350
(770) 424-8101
(770) 874-1187
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000921
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000215773A
—
GA
Enumeration date
07/12/2006
Last updated
09/20/2023
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