Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE LEE LIGHT, LDO
ActiveJACQUELINE LEE LIGHT, LDO is a Optician, Dispensing healthcare provider located in LOGANVILLE, Georgia. NPI 1518725407 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LOGANVILLE, GA
Registration Details
- NPI Number
- 1518725407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2024 (2.4200337893249 yrs)
- Last Updated
- Mar 6, 2024
- License
-
LDO001807 (GA)
Practice Information
- Address
-
4221 ATLANTA HWYLOGANVILLE, GA, 300527316Browse GA providers · Browse ZIP 30052
- Phone
- 7705543360
- Fax
- 7705548954
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| JONATHAN MULLINS | — | 1336907211 |
| ASHLEY THAO | — | 1699533216 |
| PRISCILLA DIAZ | — | 1710745245 |
| TERRY LEON SKINNER II | — | 1972355501 |
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.