NPI 1053794339

Jilka Modi, OD

Practitioner Optometrist Decatur, GA

Practice location

Address: 2050 Lawrenceville Hwy, Decatur, GA 30033-4323
Phone: (404) 325-5300
Mailing address: 2050 Lawrenceville Hwy APT 2, Decatur, GA 30033-4323

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT002880 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1053794339
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2015
Record last updated: 17 Aug 2015

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.