IndividualActive
Anna Keen, LDO
NPI 1821863424 · Optician · Tifton, GA
Provider details
- NPI number
- 1821863424
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- License
- LDO002874 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1830 US Highway 82 W
Tifton, GA 31793-8164
Phone: (229) 387-8863
Approximate (ZIP-level) locationGet directions
Mailing address
1830 US Highway 82 W
Tifton, GA 31793-8164
Registry dates
- Enumerated
- 2023-11-24
- Last updated
- 2023-11-24
- Certified
- 2023-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.