Jeffrey Carr Jessup in Vienna - Optometrist
Jeffrey Carr Jessup - NPI 1104982701
Jeffrey Carr Jessup is a Optometrist in Vienna, Virginia. Jeffrey Carr Jessup practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeffrey Carr Jessup is 1104982701. The last update date is 2021-12-21.
Jeffrey Carr Jessup's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 5712236780. The mailing address for Jeffrey Carr Jessup is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Carr Jessup |
|---|---|
| Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
| Phone Number | 7038478899 |
| Fax Number | 5712236780 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104982701 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 1950 Old Gallows Rd Ste 520 |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221823970 |
| Phone Number | 7038478899 |
| Fax Number | 5712236780 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 859 |
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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 |
|---|---|---|---|
| 47504 | TN | -- | |
| 792070001 | TN | MEDICARE DMERC PIN |
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What is the unique 10-digit identifier code issued to Jeffrey Carr Jessup by the Centers for Medicare & Medicaid Services?
The Jeffrey Carr Jessup has been assigned the NPI (National Provider Identifier) 1104982701 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeffrey Carr Jessup?
The Jeffrey Carr Jessup is physically situated at 1950 Old Gallows Rd Ste 520, in the city of Vienna, state of VA, with the postal code 221823970.
What is the Jeffrey Carr Jessup's specialty and taxonomy code?
The Jeffrey Carr Jessup's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Jeffrey Carr Jessup receive its 1104982701 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Carr Jessup was assigned its 1104982701 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information regarding Jeffrey Carr Jessup most recently updated?
The details pertaining to the Jeffrey Carr Jessup, including its address, specialty, and other relevant information, were last refreshed on 2021-12-21.
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