Vladislav Ivanchenko, OD

NPI #1497210009 in Canton, Georgia

Provider Information

NPI Number: 1497210009
Entity Type: Individual
Name: Vladislav Ivanchenko, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 7, 2019
Last Updated: Jul 18, 2025

Practice Location

Address: 2030 CUMMING HWY STE 106
City: Canton
State: Georgia
ZIP Code: 30115-8009
Phone: (678) 493-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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