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

MR. MICHAEL TERRELL, LDO

Active Sole Proprietor

MR. MICHAEL TERRELL, LDO is a Optician, Dispensing healthcare provider located in CONYERS, Georgia. NPI 1760870612 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · CONYERS, GA

Registration Details

NPI Number
1760870612
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2014 (11.587289117158 yrs)
Last Updated
Dec 30, 2014
License
LDO002484 (GA)
Sole Proprietor
Yes

Practice Information

Address
806 CAMBRIDGE CREEK DR
CONYERS, GA, 30094
Browse GA providers · Browse ZIP 30094
Phone
4049339450
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in CONYERS, GA

Name Credential NPI
MR. TERRELL THOMPSON UNDERWOOD L.D.O. 1881729788
MS. JASMINE AMARI ANSLEY LDO 1821857509
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.