Individual
DR. JEFFERY L. MOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4500 MIDWAY MALL, ELYRIA, OH 44035-2468
(440) 324-5861
Mailing address
123 BARKWOOD DR, WADSWORTH, OH 44281-8736
(330) 336-6878
(330) 334-6061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3038/T1523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204451
—
OH
Enumeration date
06/09/2005
Last updated
12/24/2010
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