Jerry Lee West O.D.

NPI 1609906106 - Optometrist - 152W00000X

NPI Details
NPI 1609906106
Gender Male
Enumeration Date 03/06/2007
Last Updated 11/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
2521 WILSON BLVD
ARLINGTON VA, 22201-3815, US
Phone (703) 522-7676
Fax (703) 525-2377
Business Location
2521 WILSON BLVD
ARLINGTON VA, 22201-3815, US
Phone (703) 522-7676
Fax (703) 525-2377
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000191
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According to our database, Dr. Jerry Lee West O.D. NPI is 1609906106, taxonomy code is 152W00000X and license number is 0618000191, license state is located at Virginia. Jerry Lee West O.D. physically located at 2521 Wilson Blvd, Arlington VA, 22201-3815. NPI Number Jerry Lee West O.D. has the Individual type.

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1609906106 NPI number is provided on an as is basis without warranty of any kind. 1609906106 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Lee West O.D. are for informational purposes only.