IndividualActive
Daniel Copeland, LDO
NPI 1124710041 · Optician · Ellijay, GA
Provider details
- NPI number
- 1124710041
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDO002731 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
88 Highland Xing
Ellijay, GA 30540-6052
Phone: (706) 635-1194
Approximate (ZIP-level) locationGet directions
Mailing address
88 Highland Xing
Ellijay, GA 30540-6052
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.