Kim Chau Raharja, O.D. Valid NPI
Individual provider · Optometrist · Chamblee, GA
- NPI
- 1720094527
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- OPT002319 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-08-01
- Last updated
- 2026-02-06
Practice location
1841 Chamblee Tucker Rd Ste 1-4b
Chamblee, GA 30341-2784
(770) 409-8977