Whalio Doctors

NPI 1104899699

Kenneth D Jeffers, OD

Practitioner Optometrist Casa Grande, AZ

Practice location

Address
560 N Camino Mercado STE 1, Casa Grande, AZ 85222-5759
Phone
(520) 426-9224
Fax
(520) 426-1554
Mailing address
2610 E University Dr, Mesa, AZ 85213-8436

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 940 (AZ)

Registry record

NPI
1104899699
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Feb 2006
Record last updated
31 Jul 2008

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.