DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA JO HOUSTON VINAVONG, LDO

Active Sole Proprietor

Optician, Dispensing · ALBANY, GA

Registration Details

NPI Number
1518328616
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2016 (10.103415045334 yrs)
Last Updated
Mar 16, 2016
Licenses
LDO002657 (GA)
LDO002657 (GA)
LDO002657 (GA)
Sole Proprietor
Yes

Practice Information

Address
2234 PALMYRA RD
ALBANY, GA, 317011322
Browse GA providers · Browse ZIP 31701
Phone
2294859264
Fax
2298883688
Primary Specialty
Optician, Dispensing
156FX1800X
Additional Specialty
Optician, Dispensing
Additional Specialty
Eyewear Supplier

Other Optician, Dispensing Providers in ALBANY, GA

Name Credential NPI
CYNTHIA ANDERSON 1497531073
CYNTHIA GAIL BLAKE 1932966603
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.