NPI 1275630352 · live from the CMS NPI Registry
Jeffery J Dutch, O.D.
Optometrist in Belfast, ME. National Provider Identifier 1275630352, active.
NPI record
| NPI | 1275630352 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 94 High St, Belfast, ME 04915 |
| Practice phone | 207-338-1480 |
| Mailing address | Po Box 209, Belfast, ME 04915 |
| Enumerated | September 20, 2006 |
| Last updated | February 4, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT576 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.