Individual
MEHDI KAZEMZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
575 PROFESSIONAL DR, SUITE 100, LAWRENCEVILLE, GA 30046-3333
(678) 993-2020
Mailing address
575 PROFESSIONAL DR, STE 100, LAWRENCEVILLE, GA 30046-3300
(770) 822-9747
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT001423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000824865B
—
GA
Enumeration date
10/27/2006
Last updated
06/19/2025
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