John D Joiner
Individual provider Active NPI Optician · Madison, GA
NPI 1841983707 · NPPES record last updated May 29, 2023
Key facts
- NPI
- 1841983707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- LDO002887 (GA)
- Practice address
- 1681 Eatonton Rd
Madison, GA 30650-4632 - Phone
- (706) 342-8018
- Fax
- (706) 342-8015
- NPI assigned
- May 29, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO002887 | GA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO002887 | GA | Yes |
Addresses
Primary practice location
1681 Eatonton Rd
Madison, GA 30650-4632
Mailing address
440 Windsong LN
Social Circle, GA 30025-2753
Phone (678) 640-6387
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.