Individual
DR. JEFFREY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1403 N TUSTIN AVE STE 399, SANTA ANA, CA 92705-8691
(714) 884-3961
(714) 884-3458
Mailing address
820 E TERRA COTTA AVE STE 256, CRYSTAL LAKE, IL 60014-3655
(815) 455-2800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046011029
IL
152W00000X
Optometrist
Primary
OPT34978TLG
CA
Other
Enumeration date
06/22/2016
Last updated
11/12/2021
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