Leeper, Jeffrey Allen

Leeper, Jeffrey Allen is an individual health care provider with primary practice located at 213 N Elm St , Cresco IA 52136-1521. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leeper, Jeffrey Allen can be contacted via phone (563) 547-5363.

Contact Information

Primary practice address
213 N Elm St Cresco IA 52136-1521
Phone: (563) 547-5363
Fax: (563) 547-2621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01837 Iowa

Profile Details

NPI number 1932107513
LBN Legal business name Leeper, Jeffrey Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 18th, 2009 - about 17 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 1932107513 NPPES
Iowa MEDICAID 2233122

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