IndividualActive
Deborah Deloach, LDO
NPI 1609654292 · Optician · Vidalia, GA
Provider details
- NPI number
- 1609654292
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- License
- LDO002114 (GA)
Practice location
3109 E 1st St
Vidalia, GA 30474-8830
Phone: (912) 537-2436
Fax: (912) 537-2659
Mailing address
3109 E 1st St
Vidalia, GA 30474-8830
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.