Individual provider Active NPI

Rebecca Ann Little, LDO

  • Optician
  • Eatonton, GA
National Provider Identifier
1255103164
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO002188 Issued in GA
Practice address
201 Walmart Dr
Eatonton, GA 31024-6761
Phone
(706) 816-9545
Fax
(706) 485-7934
NPI assigned
Oct 24, 2023
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO002188 GA Primary

Addresses

Primary practice location

201 Walmart Dr
Eatonton, GA 31024-6761

Mailing address

201 Walmart Dr
Eatonton, GA 31024-6761
Phone (706) 816-9545

Other practice location 1

201 Walmart Dr
Eatonton, GA 31024-6761
Phone (706) 816-9545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDO002188GAMDOptician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1255103164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALMART DR",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246761",
            "telephone_number": "706-816-9545",
            "fax_number": "706-485-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALMART DR",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246761",
            "telephone_number": "706-816-9545",
            "fax_number": "706-485-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Walmart Dr",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310246761",
            "country_code": "US",
            "telephone_number": "706-816-9545",
            "fax_number": "706-485-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.