Provider Demographics
NPI:1639740996
Name:KEHRT, ERIKA (OD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:KEHRT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 PEACHTREE DUNWOODY RD STE A500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-7162
Mailing Address - Country:US
Mailing Address - Phone:678-892-2020
Mailing Address - Fax:
Practice Address - Street 1:6000 HILLANDALE DR STE 130
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4860
Practice Address - Country:US
Practice Address - Phone:770-981-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003334152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist