Home » Georgia » 30002 » John E. Titak

John E. Titak (O.D.)

John E. Titak (O.D.) is a health care provider specializes in Optometrist. He is associated with medical group practice PERRY K LEE OD PC.

profile-icon Basic Information

Practice Location 3 Fairfield Dr, Avondale Estates, GA 30002-1421, US
Practice Location Phone678-432-3144
Practice Location Fax678-432-3420
GenderMale
Specialty InOptometrist
Medical SchoolIndiana University - School Of Optometry
Graduation Year1994
NPI ?1962461319
PECOS ID3971555681
Enrollment IDI20050210000523
Entity TypeIndividual
Enumeration Date ? Mar 22, 2006
Last Update Date ? Mar 31, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of John E. Titak

SpecialtySpecializationLicenseLicense State
Optometrist 001466Georgia

Medicare-icon Medicare Participation of John E. Titak

Accepts Medicare Assignment
Report Quality Measures
Use Electronic Health RecordsYes
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of John E. Titak

Medical Group PracticePerry K Lee Od Pc

legacy-id-icon Legacy Provider IDs of John E. Titak

Provider IdIssuer StateIssuer TypeIssuer
000743597NGeorgiaMedicaid