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

Mr. Johnathan Vickerson, LDO

Individual provider Contact Lens Technician/Technologist · NPI 1164297115

Mr. Johnathan Vickerson, LDO is a Contact Lens Technician/Technologist in Morrow, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

7325 Jonesboro Rd
Morrow, GA 30260-2950
Phone: (404) 583-5162
Fax: (678) 422-0759
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 002489 (GA)
Contact Lens Technician/Technologist Taxonomy 156FC0800X · Licence 002489
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1164297115
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023