Individual
DR. JEFFREY D HANDSCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4954450001
PALMETTO DMERC
NC
05
—
890924W
—
NC
01
—
P00072370
RAIL ROAD MEDICARE
NC
Enumeration date
07/18/2005
Last updated
06/18/2024
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