Individual provider · Type 1 NPI

Kenneth Trevor Shealy, OD

Optometrist · Tifton, GA

NPI number 1104436922 Active

Practice location

1803 Old Ocilla Rd
Tifton, GA 31794-1617

Fax (229) 386-2193

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XOPT003252 (GA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1104436922

Kenneth Trevor Shealy, OD's National Provider Identifier is 1104436922, issued on Aug 6, 2020. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Tifton, GA. The record was last updated on Aug 23, 2024.