Whittington, Jeffery Lee

Whittington, Jeffery Lee is an individual health care provider with primary practice located at 3840 Pennsylvania Ave , Charleston WV 25302-4650. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whittington, Jeffery Lee can be contacted via phone (304) 342-0660.

Contact Information

Primary practice address
3840 Pennsylvania Ave Charleston WV 25302-4650
Phone: (304) 342-0660
Fax: (304) 344-5483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 765-OD West Virginia

Profile Details

NPI number 1710980107
LBN Legal business name Whittington, Jeffery Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 7th, 2008 - about 16 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 1710980107 NPPES
West Virginia MEDICAID 0150926000

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