Organization
AJODHA EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKETHA AJODHA OD (OPTOMETRIST)
(954) 821-2827
Entity
Organization
Contact information
Practice address
9464 MAIN ST, WOODSTOCK, GA 30188-3715
(678) 402-0540
Mailing address
9464 MAIN ST, WOODSTOCK, GA 30188-3715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/16/2017
Last updated
03/16/2017
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