Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Tierra Davis, LDO

Individual provider Optician · NPI 1851131130

Autumn Tierra Davis, LDO is an Optician in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

450 Norman Dr
Valdosta, GA 31601-7708
Phone: (229) 244-9118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence LDO002925 (GA)

Record details

NPI number1851131130
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorNo
NPI enumeratedMay 25, 2024
Last updated in NPPESMay 25, 2024
Certification dateMay 25, 2024

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