Capelle, Jeffrey Jay
Capelle, Jeffrey Jay is an sole proprietor health care provider with primary practice located at 390 North Loop Dr , Fort Irwin CA 92310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Capelle, Jeffrey Jay can be contacted via phone (760) 383-5333.Contact Information
Primary practice address
390 North Loop Dr
Fort Irwin CA 92310
Phone: (760) 383-5333
Fax: (760) 383-5710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3595T1393 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7504TG | Texas |
Profile Details
| NPI number | 1750450219 |
|---|---|
| LBN Legal business name | Capelle, Jeffrey Jay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | May 23rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750450219 | NPPES |
| Ohio | MEDICAID | 0497583 |
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