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Individual

DAVID L BEJOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3000 REGENCY CT, STE 100, TOLEDO, OH 43623-3081
(419) 882-2020
(419) 885-8440
Mailing address
850 W NORTH ST, SUITE 104, JACKSON, MI 49202-3196
(877) 852-8463
(517) 841-0144

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4439
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000126980
ANTHEM BCBS
OH
05
0944652
OH
01
180016444
RAILROAD MEDICARE
Enumeration date
06/10/2005
Last updated
04/13/2012
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