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

Mr. Michael R Doucette Jr., LDO

Individual provider Optician · NPI 1275305708

Mr. Michael R Doucette Jr., LDO is an Optician in Ellijay, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

180 Toccoa Ct
Ellijay, GA 30540-0604
Phone: (770) 402-1175
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence LDO002685 (GA)

Record details

NPI number1275305708
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorNo
NPI enumeratedOctober 27, 2023
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address180 Toccoa Ct, Ellijay, GA 30540-0604

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