Individual
LISA DIANNE NIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
300 W HOSPITAL RD, FT EISENHOWER, GA 30905-5741
(706) 787-7155
(706) 787-2666
Mailing address
209 SILVER MEADOW CT, AIKEN, SC 29803-1658
(225) 235-2521
(706) 787-2666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1528
SC
Other
Enumeration date
08/12/2008
Last updated
11/01/2023
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