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Mrs. Lisa Jo Houston Vinavong, LDO
Eyewear Supplier in Albany, Georgia
NPI 1518328616

Lisa Jo Houston Vinavong is a Eyewear Supplier based in Albany, GA. Lisa Jo Houston Vinavong practices in Albany, GA and has the professional credentials of LDO. The NPI Number for Lisa Jo Houston Vinavong is 1518328616 and holds a License No. LDO002657 (Georgia).

The current practice location address for Lisa Jo Houston Vinavong is 2234 Palmyra Rd, Albany, GA and can be reached out via phone at 229-485-9264 and via fax at 229-888-3688.

Location: 2234 Palmyra Rd, Albany, GA, 31701-1322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518328616
Provider Name
Lisa Jo Houston Vinavong
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
2234 Palmyra Rd, Albany, GA, 31701-1322
Phone Number
229-485-9264
Fax Number
229-888-3688
Provider Enumeration Date
03/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2234 Palmyra Rd
City
Albany
State
Georgia
Zip
31701-1322
Phone Number
229-485-9264
Fax Number
229-888-3688
person
Provider Business Mailing Address Details
Address
2234 Palmyra Rd
City
Albany
State
Georgia
Zip
31701-1322
Phone Number
229-485-9264
Fax Number
229-888-3688
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
LDO002657 (Georgia)
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.
LDO002657 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
LDO002657 (Georgia)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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