Individual provider Active NPI

Tiffany Leboeuf, LDO

  • Optician
  • Columbus, GA
National Provider Identifier
1891662565
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO003092 Issued in GA
Practice address
1851 Manchester Expy Ste B
Columbus, GA 31904-6761
Phone
(706) 653-2020
NPI assigned
Oct 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO003092 GA Primary

Addresses

Primary practice location

1851 Manchester Expy Ste B
Columbus, GA 31904-6761

Mailing address

5137 Trussell Ave
Columbus, GA 31904-5871

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
LDO003092GAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1891662565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 TRUSSELL AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MANCHESTER EXPY STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046761",
            "telephone_number": "706-653-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOEUF",
        "first_name": "TIFFANY",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-18",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO003092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.