NPI 1962764076

Jared Paul Quesenberry, OD

Practitioner Optometrist Bedford, VA

Practice location

Address: 1332 Lowry St Suite a, Bedford, VA 24523
Phone: (540) 586-9575
Fax: (540) 586-0129

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618002125 (VA)

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Registry record

NPI: 1962764076
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2012
Record last updated: 15 May 2020

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.