Sophia Walters, Licensed Optician
Technician/Technologist, Optician in Mcdonough, GA. Individual provider (NPI-1).
NPI number1144044934
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1144044934
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sophia Walters
- Credential
- Licensed Optician
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2024
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
135 Willow LnMcdonough, GA 30253-6574
Phone 678-432-3093
Mailing address
45 Cornus DrCovington, GA 30016-6501
Phone 718-715-6061
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