Individual
JUDY M JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
232 DENISON PKWY E, CORNING, NY 14830-2813
(607) 937-5800
(607) 398-3341
Mailing address
207 MADISON AVE, ELMIRA, NY 14901-3204
(607) 734-2984
(607) 398-3411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TU005001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180021883
RR MEDICARE
—
Enumeration date
09/07/2005
Last updated
01/25/2012
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