Vickerson, Johnathan

Vickerson, Johnathan is an sole proprietor health care provider with primary practice located at 7325 Jonesboro Rd , Morrow GA 30260-2950. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Vickerson, Johnathan can be contacted via phone (404) 583-5162.

Contact Information

Primary practice address
7325 Jonesboro Rd Morrow GA 30260-2950
Phone: (404) 583-5162
Fax: (678) 422-0759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X 002489
Eye and Vision Services Providers / Optician 156FX1800X 002489 Georgia

Profile Details

NPI number 1164297115
LBN Legal business name Vickerson, Johnathan
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2023
Last updated Nov 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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