Organization
JESSUP EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARR JESSUP O.D. (PRESIDENT)
(615) 662-2800
Entity
Organization
Contact information
Practice address
7640 HIGHWAY 70 S, SUITE 204, NASHVILLE, TN 37221-1758
(615) 662-2800
(615) 662-2001
Mailing address
7640 HIGHWAY 70 S, SUITE 204, NASHVILLE, TN 37221-1758
(615) 662-2800
(615) 662-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT000859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047504
—
TN
01
—
0792070001
MEDICARE DMERC PIN
TN
Enumeration date
02/14/2008
Last updated
06/06/2008
Update your record
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