Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH TREVOR SHEALY, O.D.
ActiveKENNETH TREVOR SHEALY, O.D. is a Optometrist healthcare provider located in TIFTON, Georgia. NPI 1104436922 is currently active in the NPPES registry. Verify at CMS.
Optometrist · TIFTON, GA
Registration Details
- NPI Number
- 1104436922
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2020 (5.9975591961409 yrs)
- Last Updated
- Aug 23, 2024
- License
-
OPT003252 (GA)
Practice Information
- Address
-
1803 OLD OCILLA RDTIFTON, GA, 317941617Browse GA providers · Browse ZIP 31794
- Phone
- 2293862181
- Fax
- 2293862193
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. TED A MCELROY | O.D. | 1518959352 |
| JANINE TRAN NGUYEN | O.D. | 1164506390 |
| ANNA MAKENZIE BAKER | O.D. | 1972987394 |
| DR. ERIN MOZINGO SHEALY | OD | 1588308902 |
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.