Dr. Elizabeth Imade Sobanjo is a Stone Mountain, Georgia based female Optometrist who is specialized in Optometry. Active license number of Dr. Elizabeth Imade Sobanjo is 1538 for Optometry in Georgia. Dr. Elizabeth Imade Sobanjo examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Elizabeth Imade Sobanjo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D
Gender:
Female
Practice Address:
1525 E Park Place Blvd, Suite 1800, Stone Mountain, Georgia, 30087-3453
Phone:
770-498-3434
Fax:
770-498-3440
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1548313851
NPI Enumeration Date:
19 Jan, 2007
NPI Last Update On:
26 Apr, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elizabeth Imade Sobanjo are as mentioned below.
License Number
Specialization
State
Status
1538
Optometry
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Elizabeth Imade Sobanjo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000900413A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1525 E Park Place Blvd, Suite 1800 Stone Mountain, Georgia
Zip:
30087-3453
Phone Number:
770-498-3434
Fax Number:
770-498-3440
Patients can reach Dr. Elizabeth Imade Sobanjo at 1525 E Park Place Blvd, Suite 1800, Stone Mountain, Georgia or can call to book an appointment on 770-498-3434. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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