Individual
DR. JEFFREY JOEL EGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D..
Contact information
Practice address
1106 W UNIVERSITY DR # 1, MESA, AZ 85201-5532
(480) 964-6672
Mailing address
1106 W UNIVERSITY DR # 1, MESA, AZ 85201-5532
(480) 964-6672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
51
AZ
152WP0200X
Pediatric Optometrist
51
AZ
152WS0006X
Sports Vision Optometrist
51
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19127
SPECTERA
AZ
01
—
25754
AVESIS
AZ
01
—
AZ0051
EYEMED
AZ
Enumeration date
05/11/2007
Last updated
12/26/2007
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