Individual
ROMAIN ENYONAM KONOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2696 TRITT SPRINGS TRCE NE, MARIETTA, GA 30062-5263
(862) 452-6084
Mailing address
2696 TRITT SPRINGS TRCE NE, MARIETTA, GA 30062-5263
(862) 452-6084
(770) 410-8840
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
LDO002986
GA
156FC0801X
Contact Lens Fitter
LDO002986
GA
156FX1800X
Optician
ABO-NCLE234728
GA
156FX1800X
Optician
Primary
LDO002986
GA
Other
Enumeration date
12/21/2023
Last updated
12/27/2023
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