Organization
DR. DANIEL D. GOTTLIEB OPTOMETRIST, PC
Active
Other names
Gottlieb Vision Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D GOTTLIEB (PRESIDENT)
(404) 309-2020
Entity
Organization
Contact information
Practice address
6300 ATLANTA HWY STE 101A, ALPHARETTA, GA 30004-7821
(404) 309-2020
(423) 267-4555
Mailing address
318 WALNUT ST, 302A, CHATTANOOGA, TN 37403
(404) 309-2020
(423) 267-4555
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
000755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1211
TENNESSEE BOARD OF EXAMINERS
TN
01
—
755
OPTOMETRY BOARD OF EXAMINERS
GA
Enumeration date
06/28/2007
Last updated
11/19/2018
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