Individual
DR. SUSHIL K JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001001
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618001001
VA
Other
Enumeration date
01/20/2006
Last updated
04/24/2017
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