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Shannon Williams, LDO
Optician in Port Wentworth, Georgia
NPI 1508405952

Shannon Williams is a Optician based in Port Wentworth, GA and is specialized in Optician. Shannon Williams practices in Port Wentworth, GA and has the professional credentials of LDO. The NPI Number for Shannon Williams is 1508405952 and holds a License No. LDO002432 (Georgia).

The current practice location address for Shannon Williams is 34 Birch Cir, Port Wentworth, GA and can be reached out via phone at 912-650-1161.

Location: 34 Birch Cir, Port Wentworth, GA, 31407-9274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508405952
Provider Name
Shannon Williams
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
34 Birch Cir, Port Wentworth, GA, 31407-9274
Phone Number
912-650-1161
Fax Number
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 Birch Cir
City
Port Wentworth
State
Georgia
Zip
31407-3376
Phone Number
912-650-1161
Fax Number
person
Provider Business Mailing Address Details
Address
34 Birch Cir
City
Port Wentworth
State
Georgia
Zip
31407-3376
Phone Number
912-650-1161
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
615 (South Carolina)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
LDO002432 (Georgia)
Definition
Definition to come...
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