Provider Demographics
NPI:1396263026
Name:ARMAGON, LINDSAY JORDAN (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:JORDAN
Last Name:ARMAGON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 HIGHWAY 138 APT 3423
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-6521
Mailing Address - Country:US
Mailing Address - Phone:404-276-5491
Mailing Address - Fax:
Practice Address - Street 1:2435 COMMERCE AVE BLDG 2200
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4980
Practice Address - Country:US
Practice Address - Phone:404-275-5491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003054152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist