MR. JOHNATHAN VICKERSON LDO NPI 1164297115

NPI Information

NPI: 1164297115
Provider Name: MR. JOHNATHAN VICKERSON, LDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
7325 JONESBORO RD
MORROW, GA
ZIP 30260
Phone: (404) 583-5162
Get Directions

MR. Johnathan Vickerson, LDO is an optician technician technologist in Morrow, GA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Johnathan Vickerson, LDO NPI is 1164297115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7325 JONESBORO RD
MORROW, GA
ZIP 30260-950
Phone: (404) 583-5162
Fax: (678) 422-0759

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FC0800X	Technician/Technologist	Contact Lens	002489		No
2	171400000X	Health and Wellness Coach				No
3	156FX1800X	Technician/Technologist	Optician	002489	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »