Individual
JEFFREY RAY KUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
262 S MAIN ST, CLEVELAND, GA 30528-1403
(706) 219-4444
Mailing address
262 S MAIN ST, CLEVELAND, GA 30528-1403
(706) 219-4444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003296
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT003296
GA
Other
Enumeration date
11/04/2020
Last updated
05/08/2025
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