Dudovitz, Jeffrey Scott
Dudovitz, Jeffrey Scott is an individual health care provider with primary practice located at 6650 Highland Rd 118, Waterford MI 48327-1660. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dudovitz, Jeffrey Scott can be contacted via phone (248) 666-3377.Contact Information
Primary practice address
6650 Highland Rd 118
Waterford MI 48327-1660
Phone: (248) 666-3377
Fax: (248) 666-4332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003921 | Michigan |
Profile Details
| NPI number | 1811936784 |
|---|---|
| LBN Legal business name | Dudovitz, Jeffrey Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | May 6th, 2008 - about 18 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 | 1811936784 | NPPES |
| Michigan | MEDICAID | 4535834 | |
| Michigan | Other | 900F33411 |
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