Healthcare Provider Details
I. General information
NPI: 1386558997
Provider Name (Legal Business Name): SILVANA CALADAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
214 SAVANNAH AVE
STATESBORO GA
30458-5165
US
IV. Provider business mailing address
214 SAVANNAH AVE
STATESBORO GA
30458-5165
US
V. Phone/Fax
- Phone: 912-764-5609
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 003784 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: