Fogt, Jeffrey Clay
Fogt, Jeffrey Clay is an individual health care provider with primary practice located at 101 Clinton St Ste 1000, Defiance OH 43512-2176. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fogt, Jeffrey Clay can be contacted via phone (419) 782-4831.Contact Information
Primary practice address
101 Clinton St Ste 1000
Defiance OH 43512-2176
Phone: (419) 782-4831
Fax: (419) 784-0197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4103 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T1490 | Ohio |
Profile Details
| NPI number | 1427041342 |
|---|---|
| LBN Legal business name | Fogt, Jeffrey Clay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1427041342 | NPPES |
| Ohio | Other | 0357310001 | DMEPOS |
Popular Providers
-
Sandy, Thomas E
800 N Clinton St Suite D, Defiance OH 43512-4611 -
Maxwell, Daniel Robert
101 Clinton St Ste 1000, Defiance OH 43512 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Frederick, Julie Annette
283 Stadium Dr , Defiance OH 43512-4604 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Brunswick, Amy J
283 Stadium Dr , Defiance OH 43512-4604 -
Yovich, Lauren Kaye
283 Stadium Dr , Defiance OH 43512-4604 -
Lacey, Heidi Lynn
283 Stadium Dr , Defiance OH 43512-4604