Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHNATHAN VICKERSON, LDO
Active Sole ProprietorMR. JOHNATHAN VICKERSON, LDO is a Optician, Dispensing healthcare provider located in MORROW, Georgia. NPI 1164297115 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MORROW, GA
Registration Details
- NPI Number
- 1164297115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2023 (2.7105895408369 yrs)
- Last Updated
- Nov 20, 2023
- Licenses
-
002489002489 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7325 JONESBORO RDMORROW, GA, 302602950Browse GA providers · Browse ZIP 30260
- Phone
- 4045835162
- Fax
- 6784220759
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Health & Wellness Coach
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in MORROW, GA
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN KYLE JOHNSON | LDO | 1780549378 |
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.