Organization
JESSUP MOBILE OPT TN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CARR JESSUP OD (OWNER)
(502) 244-2441
Entity
Organization
Contact information
Practice address
6617 VALLEYPARK DR, NASHVILLE, TN 37221-6542
(502) 244-2441
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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