IndividualActive
Autumn Davis, LDO
NPI 1851131130 · Optician · Valdosta, GA
Provider details
- NPI number
- 1851131130
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- LDO002925 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
450 Norman Dr
Valdosta, GA 31601-7708
Phone: (229) 244-9118
Approximate (ZIP-level) locationGet directions
Mailing address
450 Norman Dr
Valdosta, GA 31601-7708
Registry dates
- Enumerated
- 2024-05-25
- Last updated
- 2024-05-25
- Certified
- 2024-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.