Pass, Jeffery Jay
Pass, Jeffery Jay is an individual health care provider with primary practice located at 2200 Elmwood Ave Ste D-4, Lafayette IN 47904-2347. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pass, Jeffery Jay can be contacted via phone (765) 446-2814.Contact Information
Primary practice address
2200 Elmwood Ave Ste D-4
Lafayette IN 47904-2347
Phone: (765) 446-2814
Fax: (765) 447-2870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002083B | Indiana |
Profile Details
| NPI number | 1265414064 |
|---|---|
| LBN Legal business name | Pass, Jeffery Jay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jan 24th, 2016 - about 9 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 | 1265414064 | NPPES |
| Indiana | MEDICAID | 100100720 |
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