Search › Georgia › 152W00000X
Herbert Wild, OD
NPI 1710159132 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3175 Satellite Blvd
Building 600 Suite 175
Duluth, GA 30096 - Phone
- (770) 622-9610
- Fax
- (770) 622-2607
- Organisation at this address
- Lca-Vision Inc
Inferred from a shared address, not stated in the registry.
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
- 2008-03-26
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