NPI 1770543720

David L Grosswald, OD

Practitioner Optometrist Conyers, GA

Practice location

Address: 1192 Dogwood Drive, Conyers, GA 30012-5454
Phone: (770) 860-1919
Fax: (770) 860-1607

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT001327 (GA)

Other Optometrist providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence GA1327 (GA)

Registry record

NPI: 1770543720
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2006
Record last updated: 27 Apr 2010

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.