IndividualActive
Daniel Obregon
NPI 1720845696 · Optician · Lawrenceville, GA
Provider details
- NPI number
- 1720845696
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LDO002689 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1400 Lawrenceville Hwy Ste 700
Lawrenceville, GA 30044-2029
Phone: (770) 682-7404
Approximate (ZIP-level) locationGet directions
Mailing address
836 River Rose Pointe
Dacula, GA 30019-1375
Registry dates
- Enumerated
- 2024-03-06
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.