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

LINDA REEVES BALLENGER, L.D.O.

Active Sole Proprietor

LINDA REEVES BALLENGER, L.D.O. is a Optician, Dispensing healthcare provider located in SUMMERVILLE, Georgia. NPI 1588716997 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SUMMERVILLE, GA

Registration Details

NPI Number
1588716997
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2007 (19.543541137052 yrs)
Last Updated
Mar 10, 2008
Licenses
GA963 (GA)
894 (GA)
Sole Proprietor
Yes

Practice Information

Address
10366 COMMERCE ST
SUMMERVILLE, GA, 307471471
Browse GA providers · Browse ZIP 30747
Phone
7068577777
Fax
7068577877
Primary Specialty
Optician, Dispensing
156FX1800X
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.