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NPI Code Detail

MEDICARE: DR. GABRIEL COLON O.D.

MEDICARE: DR. GABRIEL COLON O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1801727391
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. GABRIEL COLON O.D.
Provider Business Mailing Address
First Line : 2190 N NORCROSS TUCKER RD STE 102
Second Line :
City : NORCROSS
State : GA
Zip : 30071-3458
Country : US
Telephone Number : 770-414-0020
Fax Number : 770-414-0233
Provider Business Practice Location Address
First Line : 2190 N NORCROSS TUCKER RD STE 102
Second Line :
City : NORCROSS
State : GA
Zip : 30071-3458
Country : US
Telephone Number : 770-414-0020
Fax Number : 770-414-0233
Authorized Official
Title or Position : OPTOMETRIST
Name : GABRIEL COLON
Credential : O.D.
Telephone Number : 770-414-0020
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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