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Search › Georgia › 156FX1800X

Jason Boldt, LDO

NPI 1841057122 · on the registry since 2024 · sole proprietor

Practice

Address
4166 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone
(470) 272-0300
Organisation at this address
National Vision, Inc.
Lynn Family Eyecare Pc
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

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
2024-03-04

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