NPI 1316075476

Joel Rogol, OD

Practitioner Optometrist Lilburn, GA

Practice location

Address: 4030 Lawrenceville Hwy NW, Lilburn, GA 30047-2820
Phone: (770) 806-8471
Fax: (404) 378-2681
Mailing address: 1434 Scott Blvd Suite 2, Decatur, GA 30030-1424

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT001637 (GA)

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Registry record

NPI: 1316075476
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

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.