Individual
JERRY CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 SE 17TH ST, SUITE 100, OCALA, FL 34471-5178
(352) 732-7900
(352) 732-7466
Mailing address
150 SE 17TH ST, SUITE 100, OCALA, FL 34471-5178
(352) 732-7900
(352) 732-7466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620409100
—
FL
Enumeration date
11/02/2005
Last updated
05/02/2011
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