NPI 1003042888

Ashley Ayn Fortney, OD

Practitioner Optometrist Eastanollee, GA

Practice location

Address: 3886 Ga Highway 17 Rd, Eastanollee, GA 30538-3808
Phone: (706) 297-7292
Mailing address: PO Box 1730, Dacula, GA 30019-0030

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2465 (GA)

Other Optometrist providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2810 (TN)

Registry record

NPI: 1003042888
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2009
Record last updated: 14 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.