JACQUELINE LEE LIGHT LDO NPI 1518725407

NPI Information

NPI: 1518725407
Provider Name: JACQUELINE LEE LIGHT, LDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052
Phone: (770) 554-3360
Get Directions

Jacqueline Lee Light, LDO is an optician technician technologist in Loganville, 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. Jacqueline Lee Light, LDO NPI is 1518725407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4221 ATLANTA HWY
LOGANVILLE, GA
ZIP 30052-316
Phone: (770) 554-3360
Fax: (770) 554-8954

The enumeration date for this NPI number is 3/6/2024 and was last updated on 3/6/2024.

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	156FX1800X	Technician/Technologist	Optician	LDO001807	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

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