Provider Demographics
NPI:1427295740
Name:GIRELLO, ANGELA (OD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:GIRELLO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1035 LANCASTER SQ
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-6328
Mailing Address - Country:US
Mailing Address - Phone:678-245-4244
Mailing Address - Fax:
Practice Address - Street 1:1035 LANCASTER SQ
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-6328
Practice Address - Country:US
Practice Address - Phone:678-245-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1495152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist