OLIVIA OYEGUNLE (NPI# 1811483928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811483928 |
| Entity Type | Individual |
| Full Name | OLIVIA OYEGUNLE |
| Credential | OD |
| Practice Address |
4153 Lawrenceville Hwy Nw Ste 5 Lilburn GA 30047 |
| Mailing Address |
Po Box 207173 Dallas TX 75320-7173 |
| Practice Telephone | 7709214707 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270766 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT003092 | GA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1013 E Freeway Dr Se, Conyers, GA 300945965 | 7709227908 | 7704830498 |
| 2427 Heritage Vlg Ste 4, Snellville, GA 300782699 | 7709782020 | 7709781750 |
| Street Address |
4153 LAWRENCEVILLE HWY NW STE 5 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| 1851729883 | Avala Dental Providers,llc | Point of Service | 629 A Beaver Ruin Rd, Lilburn, GA 30047 | 2013-10-30 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053689588 | Boski Rohitkumar Amin | Optometrist | 4574 Lawrenceville Hwy Nw Ste 201, Lilburn, GA 30047-3605 | 2011-12-12 |
| 1982939666 | Patel Eye Care PC | Optometrist | 1330 Nash Lee Dr Sw, Lilburn, GA 30047-7641 | 2009-10-13 |
| 1003892019 | Michael R Barnett | Optometrist | 4319 A Lawrenceville Hwy, Lilburn Eyecare, Lilburn, GA 30047 | 2005-12-21 |
| 1093791386 | Joseph Leif Andersen | Optometrist | 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047-3416 | 2005-12-19 |
| 1811134596 | Dr. Amir Borhanipoor Od | Optometrist | 4004 Lawrenceville Hwy Nw, Lilburn, GA 30047-2820 | 2009-01-16 |
| 1740409499 | Susan S. Wood | Optometrist | 3050 Five Forks Trickum Rd Sw, Suite 112, Lilburn, GA 30047-1807 | 2007-04-24 |
| 1316075476 | Joel Rogol | Optometrist | 4030 Lawrenceville Hwy Nw, Lilburn, GA 30047-2820 | 2007-03-01 |
| 1073668307 | Drs. Barnett, Andersen, & Associates, Optometrist, P.C. | Optometrist | 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047-3416 | 2007-01-25 |
| 1326121831 | Amir Borhanipoor | Optometrist | 4004 Lawrenceville Hwy Nw, Lilburn, GA 30047-2820 | 2006-10-20 |
| 1982601209 | Alan D Brown Jr. | Optometrist | 3975 Lawrenceville Hwy Nw, Lilburn, GA 30047-2817 | 2005-07-01 |
| Find all providers in LILBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.