Individual
DR. ALVIN LEWIS FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4495 ATLANTA HWY, SUITE 300, LOGANVILLE, GA 30052-6736
(770) 554-3456
(770) 554-3458
Mailing address
4495 ATLANTA HWY, SUITE 300, LOGANVILLE, GA 30052-6736
(770) 554-3456
(770) 554-3458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716185B
—
GA
Enumeration date
03/23/2006
Last updated
08/23/2012
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