Individual
DR. JEFFREY S NEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
500 WILLAPA PL, RAYMOND, WA 98577-2507
(360) 942-5501
(360) 942-5849
Mailing address
500 WILLAPA PL, RAYMOND, WA 98577-2507
(360) 942-5501
(360) 942-5849
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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