Andre Whitehead, OD

Optometrist · Morrow, GA

Individual Active NPI

NPI number 1255351672

Practice location

2402 Southlake Mall
Morrow, GA 30260-2334
Phone
(770) 961-1001
Fax
(770) 961-4073

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NPI record

NPI
1255351672
Entity type
Individual (Type 1)
Enumeration date
July 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPT002221 GA

Mailing address

11103 West Ave
6
San Antonio, TX 78213-1370
Phone
(210) 524-6663
Fax
(210) 524-6587

About Dr. Whitehead

Andre Whitehead, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2402 Southlake Mall, Morrow, GA 30260-2334. The NPI number 1255351672 was assigned on July 20, 2006 and the record was last updated on July 8, 2007.

Dr. Whitehead lists a license in the registry: #OPT002221 (GA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andre Whitehead, OD?

The NPI number is 1255351672.

What is the phone number of Dr. Whitehead?

The phone number listed for the practice location is (770) 961-1001.

Where is Dr. Whitehead located?

2402 Southlake Mall, Morrow, GA 30260-2334.

What is the taxonomy code for Dr. Whitehead?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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