Ferdon, Chad
Ferdon, Chad is an sole proprietor health care provider with primary practice located at 5270 Peachtree Pkwy Ste 109A , Peachtree Corners GA 30092-6510. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ferdon, Chad can be contacted via phone (678) 271-3445.Contact Information
Primary practice address
5270 Peachtree Pkwy Ste 109A
Peachtree Corners GA 30092-6510
Phone: (678) 271-3445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | GA001769 | Georgia |
Profile Details
| NPI number | 1588791974 |
|---|---|
| LBN Legal business name | Ferdon, Chad |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | May 24th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588791974 | NPPES |
| Georgia | MEDICAID | 92957 |
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