Perotti, Jeffrey D.

Perotti, Jeffrey D. is an individual health care provider with primary practice located at 800 E Atwater Ave , Bloomington IN 47405-3635. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perotti, Jeffrey D. can be contacted via phone (812) 855-4447.

Contact Information

Primary practice address
800 E Atwater Ave Bloomington IN 47405-3635
Phone: (812) 855-4447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002902 Indiana

Profile Details

NPI number 1174592992
LBN Legal business name Perotti, Jeffrey D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 21st, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174592992 NPPES
Indiana MEDICAID 200456160

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