NPI 1225681794

Bruce Eric Kennedy, 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 LDO2544 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1225681794
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2019
Record last updated: 23 Jul 2019

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.