Organization
CARLOS E. PESSOA, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS EDUARDO PESSOA O.D. (OWNER/CEO)
(770) 445-2715
Entity
Organization
Contact information
Practice address
1498 MERCHANTS DR, DALLAS, GA 30132-5064
(770) 445-2715
(770) 445-5805
Mailing address
1498 MERCHANTS DR, DALLAS, GA 30132-5064
(770) 445-2715
(770) 445-5805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002495
GA
152WC0802X
Corneal and Contact Management Optometrist
002495
GA
152WP0200X
Pediatric Optometrist
002495
GA
152WV0400X
Vision Therapy Optometrist
002495
GA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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