Search › Georgia › 152W00000X
Vladislav Ivanchenko, OD
NPI 1497210009 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2030 Cumming Hwy Ste 106
Canton, GA 30115 - Phone
- (678) 493-2220
- Fax
- (678) 493-4832
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-18
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