Provider Demographics
NPI:1982737193
Name:OIFER, HOWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:OIFER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1970 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5937
Mailing Address - Country:US
Mailing Address - Phone:770-804-1684
Mailing Address - Fax:770-804-1679
Practice Address - Street 1:800 MOUNT VERNON HWY NE
Practice Address - Street 2:SUITE 130
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4295
Practice Address - Country:US
Practice Address - Phone:770-804-1684
Practice Address - Fax:770-804-1679
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2023-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA000913152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU30257Medicare UPIN