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Brian Lisi, LDO, ABOC, NCLEC — NPI 1306712005, Fort Oglethorpe, GA | NPI Central

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NPI 1306712005

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Brian Lisi, LDO, ABOC, NCLEC

NPI 1306712005 · Optician · Fort Oglethorpe, GA

Provider details

NPI number: 1306712005
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: LDO, ABOC, NCLEC
Sex: Male
Sole proprietor: No
License: LDO003080 (GA)

Practice location

3040 Battlefield Pkwy

Fort Oglethorpe, GA 30742-4004

Phone: (706) 861-5622

Fax: (706) 861-5704

More GA providers

Mailing address

40 E Carolyn Cir

Ringgold, GA 30736-5523

Registry dates

Enumerated: 2025-10-11
Last updated: 2025-10-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.