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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
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