IndividualActive
Anita Hancock, LDO,ABOC,NCLEC
NPI 1740036599 · Optician · Moultrie, GA
Provider details
- NPI number
- 1740036599
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO,ABOC,NCLEC
- Sex
- Female
- Sole proprietor
- No
- License
- LDO002678 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
641 Veterans Pkwy S
Moultrie, GA 31788-8843
Phone: (229) 890-7416
Approximate (ZIP-level) locationGet directions
Mailing address
1821 Overlook Dr
Moultrie, GA 31768-7621
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.