Jeruss, Jeffrey Glenn

Jeruss, Jeffrey Glenn is an sole proprietor health care provider with primary practice located at 2255 Sewell Mill Rd Suite 310, Marietta GA 30062-2804. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Jeruss, Jeffrey Glenn can be contacted via phone (770) 578-1900.

Contact Information

Primary practice address
2255 Sewell Mill Rd Suite 310 Marietta GA 30062-2804
Phone: (770) 578-1900
Fax: (770) 578-6623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001332 Georgia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT001332 Georgia
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT001332 Georgia

Profile Details

NPI number 1508055732
LBN Legal business name Jeruss, Jeffrey Glenn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2007
Last updated Nov 21st, 2008 - about 16 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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