MRS. CAROLE F MEDOU


Address: 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396
Phone: 6788783540

MRS. CAROLE F MEDOU (NPI# 1427667302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427667302
Entity Type Individual
Full Name MRS. CAROLE F MEDOU
Credential LDO
Practice Address 57 Hurricane Shoals Rd Nw Ste A
Lawrenceville
GA 30046-5396
Mailing Address 1475 Buford Dr
Lawrenceville
GA 30043-3719
Practice Telephone 6788783540
Mailing Telephone 4705358540
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
2211 GA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA PEACHSTATE, WELLCARE, MEDICAID, CARESOURCE 752180024 01

Office Location

Street Address 57 HURRICANE SHOALS RD NW STE A
City LAWRENCEVILLE
State GA
Zip Code 30046-5396

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
Find all providers in zip 30046

Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336450485 National Vision, Inc. Technician/Technologist 296 Grayson Hwy, Lawrenceville, GA 30046-5737 2010-06-23
1740526912 America's Best Contacts & Eyeglasses Technician/Technologist 296 Grayson Hwy, Lawrenceville, GA 30046-5737 2012-12-17
1497937478 Lawrenceville Opticians Inc. Technician/Technologist 3100 Princeton Pike, Bldg 1 Suite 2f, Lawrenceville, NJ 08648-2300 2007-11-30
1679799332 James Thomas Murray Technician/Technologist 3100 Princeton Pike, Lawrenceville, NJ 08648-2300 2007-04-18
1487737631 Wal-mart Stores East, Lp Technician/Technologist 1400 Lawrenceville Hwy, Lawrenceville, GA 30044-2029 2006-10-23
1073626149 Total Vision, LLC Technician/Technologist 875 Lawrenceville Suwanee Rd, #560, Lawrenceville, GA 30043-8479 2006-08-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255966206 Steven W Burton Technician/Technologist 2498 Wingfield Dr, Austell, GA 30106-1762 2020-03-10
1477185205 Dale A Klauss Technician/Technologist 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 2020-02-10
1104380682 National Vision Inc Technician/Technologist 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 2019-01-29
1134683600 National Vision Inc Technician/Technologist 3159 Highway 278 Ne, Covington, GA 30014-2301 2019-01-29
1255818993 Kerryn Castellon Technician/Technologist 55 Sudderth St, Buford, GA 30518-3335 2018-07-25
1770075731 National Vision, Inc. Technician/Technologist 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 2018-06-05
1598262487 National Vision, Inc. Technician/Technologist 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 2018-04-09
1720582992 Amos D Washington Technician/Technologist 10269 Industrial Blvd Ne, Covington, GA 30014-1485 2018-03-21
1619490489 Lisa Stonebraker Technician/Technologist 105 E Main St Ste 116, Woodstock, GA 30188-5013 2017-07-24
1063934461 National Vision, Inc. Technician/Technologist 1424 N Expressway Ste 120, Griffin, GA 30223-1753 2017-07-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City LAWRENCEVILLE
Zip Code 30046

Improve Information

Please comment or provide details below to improve the information on MRS. CAROLE F MEDOU.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches