Individual
DR. JEFFERY J DUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
94 HIGH ST, BELFAST, ME 04915-6344
(207) 338-1480
(207) 338-1498
Mailing address
PO BOX 209, BELFAST, ME 04915-0209
(207) 338-1480
(207) 338-1498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT576
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245190099
—
ME
01
—
MM7987
PTAN#
ME
01
—
P00313443
RMEDICARE
ME
Enumeration date
09/20/2006
Last updated
02/04/2009
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