Provider Demographics
NPI:1639791502
Name:WINSTON, KIRA ELISE (OD)
Entity type:Individual
Prefix:DR
First Name:KIRA
Middle Name:ELISE
Last Name:WINSTON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:4480 CHAMBLEE DUNWOODY RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6221
Mailing Address - Country:US
Mailing Address - Phone:770-394-2110
Mailing Address - Fax:404-256-1981
Practice Address - Street 1:4480 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6221
Practice Address - Country:US
Practice Address - Phone:770-394-2110
Practice Address - Fax:404-256-1981
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT003253152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist