Individual
DR. JEFFERY LEE WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3840 PENNSYLVANIA AVE, CHARLESTON, WV 25302-4650
(304) 342-0660
(304) 344-5483
Mailing address
25 SENECA HILLS, ELKVIEW, WV 25071
(304) 965-6630
(304) 344-5483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
765-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150926000
—
WV
Enumeration date
05/31/2005
Last updated
02/07/2008
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