DR. Carlos Ivan Ortiz, O.D.

NPI #1023112059 in Valdosta, Georgia

Provider Information

NPI Number: 1023112059
Entity Type: Individual
Name: DR. Carlos Ivan Ortiz, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3274 INNER PERIMETER RD
City: Valdosta
State: Georgia
ZIP Code: 31602-1073
Phone: (229) 253-9530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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