Dolly S Rajamannar, OD is a
Optometrist based in Ellenwood, Georgia. Dolly S Rajamannar is licensed to practice in Georgia (license number OPT001823) and her current practice location is
158 Fairview Rd Ste B, Ellenwood, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 289-5835.
NPI number for Dolly S Rajamannar is 1396843629 and her current mailing address is 158 Fairview Rd Ste B, Ellenwood, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396843629.
Healthcare Provider's Profile
Full Name | Dolly S Rajamannar |
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Gender | Female |
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Speciality | Optometrist |
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Location | 158 Fairview Rd Ste B, Ellenwood, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396843629
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dolly S Rajamannar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396843629 | NPI | - | NPPES |
00879018B | Medicaid | GA | |
00879018A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPT001823 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dolly S Rajamannar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dolly S Rajamannar, OD 158 Fairview Rd Ste B, Ellenwood, GA 30294-2795 Ph: (678) 289-5835 | Dolly S Rajamannar, OD 158 Fairview Rd Ste B, Ellenwood, GA 30294-2795 Ph: (678) 289-5835 |
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