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Organization

MARTINEZ EYE ASSOCIATES LLC

Active
Other names
Martinez Eye Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDUL DARANIJOH OD (CEO)
(812) 219-3207
Entity
Organization

Contact information

Practice address
3412 WRIGHTSBORO RD, SUITE 905, AUGUSTA, GA 30909-2500
(706) 736-3937
(706) 736-3938
Mailing address
PO BOX 3151, EVANS, GA 30809-0079
(812) 219-3207

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist
2274
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000182861D
GA
05
000367155B
GA
05
003242108A
GA
05
154675884C
GA
05
572742278A
GA
05
914781558B
GA
05
D14893
SC
05
D15972
SC
05
D16356
SC
05
D20038
SC
05
DA9564
SC
Enumeration date
05/28/2009
Last updated
06/11/2024
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