Porter, Jeffrey Scott
Porter, Jeffrey Scott is an individual health care provider with primary practice located at 1205 S Il Route 31 , Crystal Lake IL 60014-8213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Porter, Jeffrey Scott can be contacted via phone (815) 477-4053.Contact Information
Primary practice address
1205 S Il Route 31
Crystal Lake IL 60014-8213
Phone: (815) 477-4053
Fax: (815) 477-4302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.008991 | Illinois |
Profile Details
| NPI number | 1982747507 |
|---|---|
| LBN Legal business name | Porter, Jeffrey Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Aug 20th, 2020 - 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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