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Individual

DR. JEFFREY RICHARD SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
717 GREENWAY RD, SUITE C, BOONE, NC 28607-4991
(828) 265-2020
(828) 264-2257
Mailing address
717 GREENWAY RD, SUITE C, BOONE, NC 28607-4991
(828) 265-2020
(828) 264-2257

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1300
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09826
BCBSNC
NC
01
1780805804
GROUP NPI #
NC
05
8909826
NC
Enumeration date
09/12/2007
Last updated
08/12/2013
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