Nevitt, Jeffrey S

Nevitt, Jeffrey S is an sole proprietor health care provider with primary practice located at 500 Willapa Place Pacific Eye Clinic, Raymond WA 98577. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nevitt, Jeffrey S can be contacted via phone (360) 942-5501.

Contact Information

Primary practice address
500 Willapa Place Pacific Eye Clinic Raymond WA 98577
Phone: (360) 942-5501
Fax: (360) 942-5849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1562 Washington
Eye and Vision Services Providers / Optometrist 152W00000X MN1144257 Washington

Profile Details

NPI number 1063409134
LBN Legal business name Nevitt, Jeffrey S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063409134 NPPES
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MEDICAID 2022358 PBX
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