NPI 1013795343

Isaiah Scott Edmonds, LDO

Practitioner Optician Vidalia, GA

Practice location

Address: 3109 E 1st St, Vidalia, GA 30474-8830
Phone: (912) 537-2436
Fax: (912) 537-2659

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence LDO002780 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1013795343
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2023
Record last updated: 18 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.