Jacqueline Lee Light, LDO
Jacqueline Lee Light, LDO is an Optician in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
4221 Atlanta HwyLoganville, GA 30052-7316
Phone: (770) 554-3360
Fax: (770) 554-8954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence LDO001807 (GA) |
|---|
Record details
| NPI number | 1518725407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | March 6, 2024 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | March 6, 2024 |
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