Individual
JEFFREY ACHAMPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 S US HIGHWAY 41, SUITE 102, TERRE HAUTE, IN 47802
(210) 419-8386
Mailing address
711 POPLAR ST, TERRE HAUTE, IN 47807-3735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003998A
IN
Other
Enumeration date
09/01/2016
Last updated
10/05/2016
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