Individual
DR. JEFFREY S NEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1562
WA
152W00000X
Optometrist
MN1144257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002
NBN
WA
01
—
128360
L AND I
—
05
—
2015401
—
WA
05
—
2022358
—
WA
05
—
2334435
—
WA
01
—
B00298624
TRICARE
—
01
—
N1523
PBX
—
01
—
NE6969
RBS
—
Enumeration date
10/04/2005
Last updated
05/06/2026
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