Individual
DR. LOPA SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
503 FURYS FERRY RD, MARTINEZ, GA 30907-9059
(706) 860-8899
(706) 863-7822
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001520
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00849714A
—
GA
01
—
582377715
TRICARE
GA
Enumeration date
05/16/2006
Last updated
02/16/2018
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