Custred, Jeffrey K

Custred, Jeffrey K is an sole proprietor health care provider with primary practice located at 2128 Jim Redman Pkwy , Plant City FL 33563-7105. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Custred, Jeffrey K can be contacted via phone (813) 752-3320.

Contact Information

Primary practice address
2128 Jim Redman Pkwy Plant City FL 33563-7105
Fax: (813) 759-6595

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC002268 Florida

Profile Details

NPI number 1669411021
LBN Legal business name Custred, Jeffrey K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Jun 2nd, 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.

Request for update


All States NPI 1669411021 NPPES
Florida MEDICAID 620022200
Florida Other 1669411021

Popular Providers