IndividualActive
Alta Lebeck, L.D.O.
NPI 1093128050 · Optician · Tifton, GA
Provider details
- NPI number
- 1093128050
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- L.D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- LDO002502 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
363 Main St S
Tifton, GA 31794-4813
Phone: (229) 382-4441
Fax: (229) 386-0211
Approximate (ZIP-level) locationGet directions
Mailing address
363 Main St S
Tifton, GA 31794-4813
Registry dates
- Enumerated
- 2014-06-07
- Last updated
- 2014-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.