Johnathan Vickerson, LDO
NPI 1164297115 · Optician · Morrow, GA
Johnathan Vickerson, LDO is a Optician provider in Morrow, GA (NPI 1164297115).
Provider details
- NPI number
- 1164297115
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 002489
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
- Health & Wellness Coach171400000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Frequently asked questions
- What is Johnathan Vickerson's NPI number?
- Johnathan Vickerson's National Provider Identifier (NPI) is 1164297115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathan Vickerson's specialty?
- Johnathan Vickerson is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Johnathan Vickerson located?
- Johnathan Vickerson's practice location on file with NPPES is 7325 Jonesboro Rd, Morrow, GA 30260-2950.
- What is Johnathan Vickerson's phone number?
- The practice phone number listed in the NPPES registry for Johnathan Vickerson is (404) 583-5162.
- Is Johnathan Vickerson's NPI active?
- Yes — Johnathan Vickerson's NPI (1164297115) is active in the NPPES registry as of the last update on 2023-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.