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NPI 1366719957

IndividualActive

Dima Clanton, LDO

NPI 1366719957 · Optician · Atlanta, GA

Provider details

NPI number: 1366719957
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: LDO
Sex: Female
Sole proprietor: No
License: LDO002424 (GA)

Practice location

4166 Buford Hwy Ne Ste S6-T5

Atlanta, GA 30345-1081

Phone: (404) 855-3888

Fax: (404) 855-4388

More GA providers

Mailing address

2554 Gadsen Walk

Duluth, GA 30097-4349

Registry dates

Enumerated: 2011-11-26
Last updated: 2011-11-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dima Clanton, LDO — NPI 1366719957, Atlanta, GA | NPI Central