Cheney, Jerry

Cheney, Jerry is an individual health care provider with primary practice located at 150 Se 17Th St Suite 100, Ocala FL 34471-5178. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cheney, Jerry can be contacted via phone (352) 732-7900.

Contact Information

Primary practice address
150 Se 17Th St Suite 100 Ocala FL 34471-5178
Fax: (352) 732-7466
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2986 Florida

Profile Details

NPI number 1437140142
LBN Legal business name Cheney, Jerry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated May 2nd, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437140142 NPPES
Florida MEDICAID 620409100

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