Whalio Doctors

NPI 1497881023

Simone Gina Lewis, OD

Practitioner Optometrist Norcross, GA

Practice location

Address
5165 Peachtree Pkwy Suite 225, Norcross, GA 30092-2523
Phone
(770) 447-4790
Fax
(770) 447-4368
Mailing address
9765 Rod Rd, Alpharetta, GA 30022-7563

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence GA001584 (GA)

Registry record

NPI
1497881023
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Feb 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.