NPI 1033177563

Jeffery L Sponseller, OD

Practitioner Optometrist Augusta, GA

Practice location

Address: 3152 Washington Rd, Augusta, GA 30907
Phone: (706) 651-1291
Fax: (706) 210-8090

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT002159 (GA)

Other Optometrist providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1425 (SC)

Registry record

NPI: 1033177563
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2006
Record last updated: 15 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.