NPI 1003171349

Neville Kersi Dalal, OD

Practitioner Optometrist Woodstock, GA

Practice location

Address: 113 Lincoln St Costco - Optometry, Woodstock, GA 30188
Phone: (770) 694-7208
Mailing address: 1058 Piedmont Ave NE APT 403, Atlanta, GA 30309-3749

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT003060 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1003171349
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2012
Record last updated: 26 Jan 2021

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.