MRS. CAROLE F MEDOU LDO NPI 1427667302

NPI Information

NPI: 1427667302
Provider Name: MRS. CAROLE F MEDOU, LDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
57 HURRICANE SHOALS RD NW STE A
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 878-3540
Get Directions

MRS. Carole F Medou, LDO is an optician technician technologist in Lawrenceville, 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. MRS. Carole F Medou, LDO NPI is 1427667302. 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:

57 HURRICANE SHOALS RD NW STE A
LAWRENCEVILLE, GA
ZIP 30046-396
Phone: (678) 878-3540

The enumeration date for this NPI number is 7/28/2020 and was last updated on 7/28/2020.

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	2211	GEORGIA	Yes

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
1	752180024	OTHER	GEORGIA	PEACHSTATE, WELLCARE, MEDICAID, CARESOURCE

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: 4/28/2024

NPI Synchronization or Removal

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