VLADISLAV IVANCHENKO

CANTON, GA
NPI1497210009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT003096)
Enumeration Date2019-02-07
Last Update Date2025-07-18
Business Address
VLADISLAV IVANCHENKO OD
2030 CUMMING HWY STE 106
CANTON, GA 30115-8009
Phone number: 678-493-2220
Mailing Address
VLADISLAV IVANCHENKO OD
2002 MILLINGTON LN
JACKSONVILLE, FL 32246-1386
Phone number: