Reimbold, Susan Marie

Reimbold, Susan Marie is an sole proprietor health care provider with primary practice located at 4180 Old Milton Pkwy Suite 1-D, Alpharetta GA 30005-2408. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reimbold, Susan Marie can be contacted via phone (770) 776-9000.

Contact Information

Primary practice address
4180 Old Milton Pkwy Suite 1-D Alpharetta GA 30005-2408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 001567 Georgia

Profile Details

NPI number 1033236492
LBN Legal business name Reimbold, Susan Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033236492 NPPES
Georgia Other 14193 AVESIS PROVIDER
Georgia Other 07526 AVESIS PROVIDER
Georgia Other 40968 AVESIS PROVIDER

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