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Search › Georgia › 156FX1800X

Johnathan Vickerson, LDO

NPI 1164297115 · on the registry since 2023 · sole proprietor

Practice

Address
7325 Jonesboro Rd
Morrow, GA 30260
Phone
(404) 583-5162
Fax
(678) 422-0759
Organisation at this address
Sams East Inc
Sam'S Club Optical
Arnand Comprehensive Eye Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FC0800X
171400000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia