| Niketha Ajodha, | |
|
7050 Highway 85, Riverdale, GA 30274-2946 | |
| (770) 994-1670 | |
| Not Available |
| Full Name | Niketha Ajodha |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 7050 Highway 85, Riverdale, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508147612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002664 (Georgia) | Primary |
| Provider Name | Tara Fowler Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184851800 PECOS PAC ID: 0941353445 Enrollment ID: O20090731000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Niketha Ajodha, 6640 Nw 20th St, Margate, FL 33063-2102 Ph: (954) 821-2827 | Niketha Ajodha, 7050 Highway 85, Riverdale, GA 30274-2946 Ph: (770) 994-1670 |
Bolt Eye Group - Riverdale, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 131 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9913 | |
Came Home Seeing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 470-693-8184 | |
Fred Osaretin Osayi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7583 Highway 85, Riverdale, GA 30274 Phone: 770-996-3495 | |
Dr. Haley Penrod, OD Optometrist Medicare: Medicare Enrolled Practice Location: 131 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9913 |