Active NPIIndividual provider

Dr. Justin Abraham, OD

Optometrist in Atlanta, Georgia

NPI Number1386318137
Practice location
1100 Johnson Fy RD NE Ste 108, Atlanta, GA 30342-1733
Fax
—
Last updated
August 5, 2021

Dr. Justin Abraham, OD is a Optometrist based in Atlanta, GA. Dr. Justin Abraham, OD holds the professional credentials of OD. The NPI number for Dr. Justin Abraham, OD is 1386318137 and holds license No. OPT003342 (GA). The current practice location address is 1100 Johnson Fy RD NE Ste 108, Atlanta, GA 30342-1733 and the office can be reached by phone at 404-531-9988. The NPI was assigned on August 5, 2021 and the record was last updated in NPPES on August 5, 2021.

●Provider Profile Details

NPI Number
1386318137
Provider Name
Justin Abraham
Credential
OD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Enumeration Date
August 5, 2021
Last Update Date
August 5, 2021
Certification Date
July 11, 2021
NPI Status
Active

◉Business Practice Location Address

Address
1100 Johnson Fy RD NE Ste 108
Atlanta, GA 30342-1733
State
Georgia
ZIP
30342-1733
Country
US
Phone Number
404-531-9988

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✉Business Mailing Address

Address
3815 Timbers Edge Ln
Glenview, IL 60025-1480
City
Glenview
State
IL
ZIP
60025-1480
Phone Number
847-418-6049

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Optometrist152W00000XYesOPT003342GA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Justin Abraham, OD?

The NPI number of Dr. Justin Abraham, OD is 1386318137. It was assigned on August 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin Abraham, OD?

Dr. Justin Abraham, OD is registered under the primary taxonomy Optometrist (code 152W00000X) and holds license No. OPT003342 (GA).

Where does Dr. Justin Abraham, OD practice?

The practice location is 1100 Johnson Fy RD NE Ste 108, Atlanta, GA 30342-1733. The office can be reached at 404-531-9988 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386318137 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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