CARLOS IVAN ORTIZ

VALDOSTA, GA
NPI1023112059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT001470)
Enumeration Date2006-09-11
Last Update Date2007-07-08
Business Address
Dr. CARLOS IVAN ORTIZ O.D.
3274 INNER PERIMETER RD
VALDOSTA, GA 31602-1073
Phone number: 229-253-9530
Mailing Address
Dr. CARLOS IVAN ORTIZ O.D.
4547 TILLMAN BLUFF RD
VALDOSTA, GA 31602-0822
Phone number: 229-253-8872
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