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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811936784 NPPES
Michigan MEDICAID 4535834
Michigan Other 900F33411

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