Valerie Stallworth, LDO
Technician/Technologist, Optician in Buford, GA. Individual provider (NPI-1).
NPI number1316630700
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1316630700
- Entity type
- Individual (NPI-1)
- Name
- Valerie Stallworth
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2023
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 2309 | GA | Yes |
Practice location
3795 Buford DrBuford, GA 30519-4906
Phone 770-271-8084 · Fax 770-271-1761
Mailing address
3795 Buford DrBuford, GA 30519-4906
Phone 702-718-0847
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Optician providers in Buford · All 1,286 providers in Buford
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