Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE H CHURCH, LDO
ActiveJACQUELINE H CHURCH, LDO is a Optician, Dispensing healthcare provider located in GAINESVILLE, Georgia. NPI 1740158294 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · GAINESVILLE, GA
Registration Details
- NPI Number
- 1740158294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2025 (0.75532844848995 yrs)
- Last Updated
- Oct 27, 2025
- License
-
0806 (GA)
Practice Information
- Address
-
3212 GREEN HUNTER LN SEGAINESVILLE, GA, 305014531Browse GA providers · Browse ZIP 30501
- Phone
- 7067782149
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER PHILLIPS | LDO | 1831880855 |
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.