Provider Demographics
NPI:1508278268
Name:PERSZYK, IRA ABRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:ABRAHAM
Last Name:PERSZYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 GLENRIDGE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5560
Mailing Address - Country:US
Mailing Address - Phone:404-252-1194
Mailing Address - Fax:404-252-1196
Practice Address - Street 1:5730 GLENRIDGE DR STE 120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5560
Practice Address - Country:US
Practice Address - Phone:404-252-1194
Practice Address - Fax:404-252-1196
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3587207W00000X
GA89954207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology