NPI 1043066798

Grace Lisette Rivera, LDO

Practitioner Optician Adel, GA

Practice location

Address: 351 Alabama Rd, Adel, GA 31620-3818
Phone: (229) 896-9994
Fax: (229) 896-9996

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 002857 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1043066798
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2024
Record last updated: 24 Apr 2024

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.