| Dr. Ranan B. Stimpson Od Pc | |
|
3700 Largent Way Nw Ste 200 Marietta GA 30064-1670 | |
| (770) 422-2021 | |
| (770) 514-9603 |
| Full Name | Dr. Ranan B. Stimpson Od Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3700 Largent Way Nw, Marietta, Georgia |
| Authorized Official Name and Position | Ranan B Stimpson (OPTOMETIST) |
| Authorized Official Contact | 7704222021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ranan B. Stimpson Od Pc 3700 Largent Way Nw Ste 200 Marietta GA 30064-1670 Ph: (770) 422-2021 | Dr. Ranan B. Stimpson Od Pc 3700 Largent Way Nw Ste 200 Marietta GA 30064-1670 Ph: (770) 422-2021 |
| NPI Number | 1255602538 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 9032386727 |
|---|---|
| Medicare Enrollment ID | O20120120000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255602538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPT001294T (Georgia) | Primary |
| Provider Name | Ranan Boyett Stimpson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205961687 PECOS PAC ID: 0941477632 Enrollment ID: I20120120000387 |
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