Individual
JEFFREY ADAM LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
81 MORAGA WAY, ORINDA, CA 94563-3023
(925) 254-5914
(925) 254-8919
Mailing address
81 MORAGA WAY, ORINDA, CA 94563-3023
(925) 254-5914
(925) 254-8919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1105T
CA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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