Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT002237 | GA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT002237 | GA |
NPI | 1104931724 |
---|---|
Provider Name | Dr. Joan Marie Sears |
First Address | Salisbury, NC 28146 |
Second Address | Cleveland, GA 30528-1403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 09/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U34636 | (02) |