Individual
BRUCE JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
331 S 15TH ST, PO 278, SEBRING, OH 44672-2005
(330) 938-2647
Mailing address
331 S 15TH ST, SEBRING, OH 44672-2005
(330) 938-2647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5269/T2177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2370394
—
OH
Enumeration date
06/17/2005
Last updated
11/25/2015
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