Ibry Dell Engram in Fayetteville - Optometrist
Ibry Dell Engram - NPI 1942396452
Ibry Dell Engram is a Optometrist in Fayetteville, Georgia. Ibry Dell Engram practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ibry Dell Engram is 1942396452. The last update date is 2007-07-08.
Ibry Dell Engram's current location address is P.o. 160, Fayetteville, Georgia. You can contact this provider via phone number 7067826961 and fax number 7067826966. The mailing address for Ibry Dell Engram is P.o. 160, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ibry Dell Engram |
|---|---|
| Address | P.o. 160, Fayetteville, Georgia |
| Phone Number | 7067826961 |
| Fax Number | 7067826966 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1942396452 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | P.o. 160 |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 30214 |
| Phone Number | 7067826961 |
| Fax Number | 7067826966 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT000655 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00057967A | GA | -- | |
| 25977 | AVESIS | ||
| 89093NT | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ibry Dell Engram by the Centers for Medicare & Medicaid Services?
The Ibry Dell Engram has been issued the NPI (National Provider Identifier) 1942396452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ibry Dell Engram?
The Ibry Dell Engram is physically situated at P.O. 160, in the city of Fayetteville, state of GA, with the postal code 30214.
What is Ibry Dell Engram's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ibry Dell Engram is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When did Ibry Dell Engram receive its 1942396452 assignment?
The Ibry Dell Engram was assigned its 1942396452 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Ibry Dell Engram's details last updated?
The information pertaining to the Ibry Dell Engram, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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