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

Simon Vincenzo Guzman, LDO

Individual provider Contact Lens Technician/Technologist · NPI 1790509644

Simon Vincenzo Guzman, LDO is a Contact Lens Technician/Technologist in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

450 Jessica Way
Athens, GA 30606-1393
Phone: (626) 226-6992
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence LDO003009 (GA)
Contact Lens Technician/Technologist Taxonomy 156FC0800X · Licence LDO003009 (GA)
Ophthalmic Technician/Technologist Taxonomy 156FX1100X

Record details

NPI number1790509644
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorNo
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024