NPI 1093086159

Patrick K Alfred, ABOC

Practitioner Optician Fayetteville, GA

Practice location

Address: 120 Georgia Ave E, Fayetteville, GA 30214-1616
Phone: (770) 719-9500

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 083494 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1093086159
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2012
Record last updated: 21 Jan 2012

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.