Overbey, Jeffrey Thomas

Overbey, Jeffrey Thomas is an sole proprietor health care provider with primary practice located at 100 So. Bay Pavilion Mall 20700 S. Avalon Blvd. #100, Carson CA 90746. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Overbey, Jeffrey Thomas can be contacted via phone (310) 327-0545.

Contact Information

Primary practice address
100 So. Bay Pavilion Mall 20700 S. Avalon Blvd. #100 Carson CA 90746
Fax: (310) 327-0545
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7028T California

Profile Details

NPI number 1295862381
LBN Legal business name Overbey, Jeffrey Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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 1295862381 NPPES
California MEDICAID SD0070280

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