Grace Lisette Rivera, LDO
Grace Lisette Rivera, LDO is an Optician in Adel, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
351 Alabama RdAdel, GA 31620-3818
Phone: (229) 896-9994
Fax: (229) 896-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 002857 (GA) |
|---|
Record details
| NPI number | 1043066798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | April 24, 2024 |
| Last updated in NPPES | April 24, 2024 |
| Certification date | April 24, 2024 |
| Mailing address | 351 Alabama Rd, Adel, GA 31620-3818 |
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