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

Kathie Joy Crisp, LDO

Individual provider Optician · NPI 1992496913

Kathie Joy Crisp, LDO is an Optician in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

2767 U.s Highway 90 W
Lake City, FL 32055
Phone: (386) 755-3136
Fax: (386) 755-4816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DO5913 (FL)

Record details

NPI number1992496913
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorYes
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address2767 U.S. Highway 90 West, Lake City, FL 32055

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