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GLORIA LEE NPI 1124146071


NPI Information

NPI: 1124146071
Provider Name: GLORIA LEE
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
192 LAFAYETTE ST
RINGGOLD, GA
ZIP 30736
Phone: (706) 965-2020
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GLORIA LEE is an optician technician technologist in Ringgold, 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. GLORIA LEE NPI is 1124146071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

192 LAFAYETTE ST
RINGGOLD, GA
ZIP 30736-431
Phone: (706) 965-2020
Fax: (706) 965-2020

The provider's authorized official is Gloria Ann Lee .
The authorized official title is Owner/optician and has the following contact phone number (706) 965-2020.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 10/6/2016.


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
1156FX1800XTechnician/TechnologistOpticianLDO000851GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1436313544BMEDICAIDGEORGIA
27550930001MEDICARE NSCGEORGIA

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

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