Yocum, Jeffrey Jon
Yocum, Jeffrey Jon is an sole proprietor health care provider with primary practice located at 637 Ferry St , Lafayette IN 47901-1143. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Yocum, Jeffrey Jon can be contacted via phone (765) 742-2930.Contact Information
Primary practice address
637 Ferry St
Lafayette IN 47901-1143
Phone: (765) 742-2930
Fax: (765) 429-6160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1800-2445B | Indiana |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 1800-2445AB | Indiana |
Profile Details
| NPI number | 1912992439 |
|---|---|
| LBN Legal business name | Yocum, Jeffrey Jon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jun 23rd, 2014 - about 11 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 | 1912992439 | NPPES |
| Indiana | MEDICAID | 100232920A |
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