Individual provider Active NPI

Alicia Louise Rice, LDO

  • Optician
  • Macon, GA
National Provider Identifier
1871339283
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO002690 Issued in GA
Practice address
4701 Log Cabin Dr
Macon, GA 31204-6318
Phone
(478) 788-7667
Fax
(478) 788-7780
NPI assigned
Jul 4, 2024
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO002690 GA Primary

Addresses

Primary practice location

4701 Log Cabin Dr
Macon, GA 31204-6318

Mailing address

4701 Log Cabin Dr
Macon, GA 31204-6318
Phone (478) 788-7667

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
LDO002690GAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1871339283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312046318",
            "telephone_number": "478-788-7667",
            "fax_number": "478-788-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312046318",
            "telephone_number": "478-788-7667",
            "fax_number": "478-788-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "ALICIA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.