IndividualActive
Jessica Gleaves, COA
NPI 1235820515 · Ophthalmic Assistant · Atlanta, GA
Provider details
- NPI number
- 1235820515
- Entity type
- Individual
- Primary specialty
- Ophthalmic AssistantEye and Vision Services Providers
- Credential
- COA
- Sex
- Female
- Sole proprietor
- No
- License
- 311526 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1100 Johnson Fy Rd Ne Ste 593
Atlanta, GA 30342-1733
Phone: (404) 299-5209
Fax: (404) 296-7415
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Johnson Fy Rd Ne Ste 593
Atlanta, GA 30342-1733
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2023-05-17
- Certified
- 2023-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.