Kim Chau Raharja in Dunwoody - Optometrist

Kim Chau Raharja - NPI 1720094527

Kim Chau Raharja is a Optometrist in Dunwoody, Georgia. Kim Chau Raharja practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kim Chau Raharja is 1720094527. The last update date is 2012-12-28.

Kim Chau Raharja's current location address is 4717 Cambridge Trce, Dunwoody, Georgia. You can contact this provider via phone number 6786566305. The mailing address for Kim Chau Raharja is 4717 Cambridge Trce, Dunwoody, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Chau Raharja
Address 4717 Cambridge Trce, Dunwoody, Georgia
Phone Number 6786566305
Fax Number
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1720094527
Provider Enumeration Date 2006-08-01
Last Updated Date 2012-12-28

Provider Mailing Address Detail

Address 4717 Cambridge Trce
City Dunwoody
State Georgia (GA)
Post Code 303385252
Phone Number 6786566305
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPT002319
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Kim Chau Raharja

What is the unique identifier code issued to Kim Chau Raharja by the Centers for Medicare & Medicaid Services (CMS)?

The Kim Chau Raharja has been assigned the NPI (National Provider Identifier) 1720094527. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kim Chau Raharja's facilities are geographically located?

The facilities of Kim Chau Raharja are physically situated at the following location: 4717 Cambridge Trce, Dunwoody, GA, 303385252.

What is the Kim Chau Raharja's specialty and taxonomy code?

The Kim Chau Raharja's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

On what date did Kim Chau Raharja receive its 1720094527 assignment from the Centers for Medicare & Medicaid Services?

The Kim Chau Raharja was assigned its 1720094527 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kim Chau Raharja most recently updated or revised?

The details related to Kim Chau Raharja, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-28.

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