Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 152WC0802X | Optometrist | Corneal and Contact Management | OPT 001337 | GEORGIA | No |
2 | 152WL0500X | Optometrist | Low Vision Rehabilitation | OPT 001337 | GEORGIA | No |
3 | 152WX0102X | Optometrist | Occupational Vision | OPT 001337 | GEORGIA | No |
4 | 152WP0200X | Optometrist | Pediatrics | OPT 001337 | GEORGIA | No |
5 | 152WV0400X | Optometrist | Vision Therapy | OPT 001337 | GEORGIA | No |
6 | 152WS0006X | Optometrist | Sports Vision | OPT 001337 | GEORGIA | No |
7 | 152W00000X | Optometrist | | OPT 001337 | GEORGIA | Yes |