Provider Demographics
NPI:1457041451
Name:BRITT, ANNA LOUISE (OD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LOUISE
Last Name:BRITT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:151 TIMBERVALLEY LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3648
Mailing Address - Country:US
Mailing Address - Phone:770-773-6049
Mailing Address - Fax:
Practice Address - Street 1:118 ROBERT B LEE DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-2600
Practice Address - Country:US
Practice Address - Phone:229-759-6508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003493152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist