Dr. Lydia Geabou, OD
Optometrist in Hixson, TN. Individual provider (NPI-1).
NPI number1801584792
StatusActive
Last updated in NPPESDec 10, 2023
Details
- NPI
- 1801584792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lydia Geabou
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2023
- Certification date
- Dec 10, 2023
- Last updated
- Dec 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT003520 | GA | Yes |
| 152W00000X | Optometrist | 3938 | TN | |
| 152W00000X | Optometrist | 6400 | FL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4511 Hixson PikeHixson, TN 37343-5067
Phone 423-870-3742
Mailing address
72 Biltmore DrRinggold, GA 30736-3720
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All 26 Optometrist providers in Hixson · All 873 providers in Hixson
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