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

MR. JEFFREY BURNETT SR., LDO

Active Sole Proprietor

MR. JEFFREY BURNETT SR., LDO is a Optician, Dispensing healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1629287214 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · STONE MOUNTAIN, GA

Registration Details

NPI Number
1629287214
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2007 (19.193200960078 yrs)
Last Updated
Jul 8, 2007
License
2104 (GA)
Sole Proprietor
Yes

Practice Information

Address
6945 DEER CREEK TRCE
STONE MOUNTAIN, GA, 300875477
Browse GA providers · Browse ZIP 30087
Phone
4049181916
Fax
6782672865
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in STONE MOUNTAIN, GA

Name Credential NPI
GARY L HOWARD DISPENSING OPTICIAN 1578720470
BENJAMIN AKPOCHA IDIALE LDO 1417484510
ZARINAH N ROBINSON LDO 1982479515
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.