Provider Demographics
NPI:1659486058
Name:OHLSSON, KARL E (OD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:E
Last Name:OHLSSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:559 FOREST PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2116
Mailing Address - Country:US
Mailing Address - Phone:404-366-1806
Mailing Address - Fax:404-361-2203
Practice Address - Street 1:559 FOREST PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2116
Practice Address - Country:US
Practice Address - Phone:404-366-1806
Practice Address - Fax:404-361-2203
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA1111152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management