Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WILLIAMS, LDO
Active Sole ProprietorSHANNON WILLIAMS, LDO is a Optician, Dispensing healthcare provider located in PORT WENTWORTH, Georgia. NPI 1508405952 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PORT WENTWORTH, GA
Registration Details
- NPI Number
- 1508405952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2020 (6.5919887090147 yrs)
- Last Updated
- Jan 2, 2020
- Licenses
-
LDO002432 (GA)615 (SC)1233 (SC)LDO002432 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34 BIRCH CIRPORT WENTWORTH, GA, 314073376Browse GA providers · Browse ZIP 31407
- Phone
- 9126501161
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Contact Lens Optician
- Additional Specialty
- Optician, Dispensing
- Additional Specialty
- Optician, Dispensing
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.