Individual
JERE MICAH WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1621 MAIN ST, CHIPLEY, FL 32428-5992
(850) 638-3214
(850) 638-7797
Mailing address
1621 MAIN ST, CHIPLEY, FL 32428-5992
(850) 638-3214
(850) 638-7797
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO8439
FL
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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