IndividualActive
Gregory Niznik
NPI 1003555830 · Technician/Technologist · Kennesaw, GA
Provider details
- NPI number
- 1003555830
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1416 Clarinbridge Pkwy Nw
Kennesaw, GA 30144-6669
Phone: (404) 295-0052
Mailing address
1416 Clarinbridge Pkwy Nw
Kennesaw, GA 30144-6669
Registry dates
- Enumerated
- 2022-05-31
- Last updated
- 2022-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.