Individual
DR. RICHARD D. SPOLZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1550 RIVERSTONE PKWY, CANTON, GA 30114-2889
(770) 720-1025
Mailing address
15780 MANOR TRACE, ALPHARETTA, GA 30004
(770) 754-9140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002303
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114964
EYEMED VISION PLAN
GA
01
—
43854
SPECTERA VISION PLAN
GA
Enumeration date
02/06/2007
Last updated
07/08/2007
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