Individual
DR. PETER BRETT TOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1245 WATER VIEW LN, SUWANEE, GA 30024-6871
(434) 441-0640
Mailing address
1245 WATER VIEW LN, SUWANEE, GA 30024-6871
(434) 441-0640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000681
VA
152W00000X
Optometrist
Primary
OPT002749
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618000681
TPA OPTOMETRIC LICENSE
VA
01
—
OPT002749
OPTOMETRIC LICENSE
GA
Enumeration date
02/12/2007
Last updated
10/21/2013
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