Provider Demographics
NPI:1336123868
Name:HO, NHAT ANH THI (OD)
Entity type:Individual
Prefix:DR
First Name:NHAT
Middle Name:ANH THI
Last Name:HO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ANH
Other - Middle Name:N
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:6035 PEACHTREE PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3369
Mailing Address - Country:US
Mailing Address - Phone:770-903-4555
Mailing Address - Fax:770-903-4556
Practice Address - Street 1:6035 PEACHTREE PKWY STE A
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3369
Practice Address - Country:US
Practice Address - Phone:770-903-4555
Practice Address - Fax:770-903-4556
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002172152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management