Yocum, Jeffrey Jon

Yocum, Jeffrey Jon is an sole proprietor health care provider with primary practice located at 637 Ferry St , Lafayette IN 47901-1143. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Yocum, Jeffrey Jon can be contacted via phone (765) 742-2930.

Contact Information

Primary practice address
637 Ferry St Lafayette IN 47901-1143
Phone: (765) 742-2930
Fax: (765) 429-6160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1800-2445B Indiana
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1800-2445AB Indiana

Profile Details

NPI number 1912992439
LBN Legal business name Yocum, Jeffrey Jon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Jun 23rd, 2014 - about 12 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 1912992439 NPPES
Indiana MEDICAID 100232920A

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