Individual
DR. JEFFREY JAY CAPELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
390 NORTH LOOP DR, FORT IRWIN, CA 92310
(760) 383-5333
(760) 383-5710
Mailing address
3824 BUENA VISTA ST APT B, FORT IRWIN, CA 92310-1872
(614) 795-1643
(760) 383-5333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3595T1393
OH
152W00000X
Optometrist
Primary
7504TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497583
—
OH
Enumeration date
11/07/2006
Last updated
05/23/2022
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