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Benjamin Idiale, LDO
NPI 1417484510 · on the registry since 2017
Practice
- Address
- 5226 Stone Mountain Hwy Ste B
Stone Mountain, GA 30087 - Phone
- (404) 578-9117
- Organisation at this address
- Rimavision, Inc (Dba, Rimavision Eye Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia