Jessup, Jeffrey Carr

Jessup, Jeffrey Carr is an sole proprietor health care provider with primary practice located at 7091 Old Harding Pike Suite 105, Nashville TN 37221. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Jessup, Jeffrey Carr can be contacted via phone (615) 662-2800.

Contact Information

Primary practice address
7091 Old Harding Pike Suite 105 Nashville TN 37221
Phone: (615) 662-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODT859 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 859 Tennessee

Profile Details

NPI number 1104982701
LBN Legal business name Jessup, Jeffrey Carr
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Dec 21st, 2021 - about 5 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 1104982701 NPPES
Tennessee MEDICAID 0047504
Tennessee Other 0792070001

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