Jeffrey Ian Wynn is a Optometrist in Dumfries, Virginia. Jeffrey Ian Wynn practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeffrey Ian Wynn is 1154301190. The last update date is 2009-08-04.
Jeffrey Ian Wynn's current location address is 17614 Main St, Dumfries, Virginia. You can contact this provider via phone number 7032213575 and fax number 7032214416. The mailing address for Jeffrey Ian Wynn is 17614 Main St, Dumfries, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Ian Wynn |
|---|---|
| Address | 17614 Main St, Dumfries, Virginia |
| Phone Number | 7032213575 |
| Fax Number | 7032214416 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1154301190 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2009-08-04 |
Provider Mailing Address Detail
| Address | 17614 Main St |
|---|---|
| City | Dumfries |
| State | Virginia (VA) |
| Post Code | 220262359 |
| Phone Number | 7032213575 |
| Fax Number | 7032214416 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618000150 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9203265 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Ian Wynn by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Ian Wynn has been assigned the NPI (National Provider Identifier) 1154301190. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jeffrey Ian Wynn's facilities are geographically located?
The facilities of Jeffrey Ian Wynn are physically situated at the following location: 17614 Main St, Dumfries, VA, 220262359.
What is Jeffrey Ian Wynn's area of expertise and its corresponding taxonomy classification?
The Jeffrey Ian Wynn's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1154301190 assigned to Jeffrey Ian Wynn?
The Jeffrey Ian Wynn was issued its 1154301190 on 2006-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jeffrey Ian Wynn most recently updated or revised?
The information pertaining to Jeffrey Ian Wynn, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-04.