IndividualActive
Carole Medou, LDO
NPI 1427667302 · Optician · Lawrenceville, GA
Provider details
- NPI number
- 1427667302
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- 2211 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
57 Hurricane Shoals Rd Nw Ste a
Lawrenceville, GA 30046-5396
Phone: (678) 878-3540
Approximate (ZIP-level) locationGet directions
Mailing address
1475 Buford Dr
Lawrenceville, GA 30043-3719
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.