Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE LISETTE RIVERA, LDO
ActiveGRACE LISETTE RIVERA, LDO is a Optician, Dispensing healthcare provider located in ADEL, Georgia. NPI 1043066798 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ADEL, GA
Registration Details
- NPI Number
- 1043066798
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2024 (2.286290169988 yrs)
- Last Updated
- Apr 24, 2024
- License
-
002857 (GA)
Practice Information
- Address
-
351 ALABAMA RDADEL, GA, 316203818Browse GA providers · Browse ZIP 31620
- Phone
- 2298969994
- Fax
- 2298969996
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in ADEL, GA
| Name | Credential | NPI |
|---|---|---|
| BRUCE ERIC KENNEDY | LDO | 1225681794 |
| RHONDA COOPER NANCE | LDO | 1972346757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.