Organization
MEHDI KAZEMZADEH, OPTOMETRIST, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI KAZEMZADEH OD (OWNER)
(678) 993-2020
Entity
Organization
Contact information
Practice address
575 PROFESSIONAL DR, 100, LAWRENCEVILLE, GA 30046-3333
(678) 993-2020
(678) 993-2000
Mailing address
575 PROFESSIONAL DR, 100, LAWRENCEVILLE, GA 30046-3333
(678) 993-2020
(678) 993-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000824865B
—
GA
Enumeration date
06/08/2010
Last updated
05/03/2013
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