MIRA SIVAN, OD
Optometrist
Active
Individual
NPI: 1407013840
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | OPT002413 (GA) |
Frequently Asked Questions
NPI 1407013840 is the National Provider Identifier for MIRA SIVAN, OD, a Optometrist provider located in Stone Mountain, GA. This NPI was enumerated on May 22, 2008.
MIRA SIVAN, OD practices at 5462 MEMORIAL DR, SUITE 101, Stone Mountain, GA 30083.
Quick Facts
- NPI
- 1407013840
- Type
- Individual
- Enumerated
- May 22, 2008
- Last Updated
- May 22, 2008
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