Individual
DR. IRBY DELL ENGRAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1455 HWY 441 SOUTH, CLAYTON, GA 30525
(706) 782-6961
(706) 782-6966
Mailing address
PO BOX 848, CLAYTON, GA 30525-0022
(770) 337-5966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1398
SC
152W00000X
Optometrist
Primary
OPT000655
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057967A
—
GA
01
—
25977
AVESIS
—
05
—
89093NT
—
NC
Enumeration date
10/04/2006
Last updated
03/31/2026
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