NPI 1477185205

Dale a Klauss, LDO

Practitioner Optician Fayetteville, GA

Practice location

Address: 294 Kenwood Rd STE a, Fayetteville, GA 30214-3451
Phone: (770) 815-9254

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence LDO000702 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1477185205
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2020
Record last updated: 10 Feb 2020

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.