Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE LOGAN MIZE, OD
ActiveOptometrist · RAVENSWOOD, WV
Registration Details
- NPI Number
- 1285246546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2020 (5.677119958669 yrs)
- Last Updated
- Aug 18, 2020
- License
-
2072-IOD (WV)
Practice Information
- Address
-
706 WASHINGTON STRAVENSWOOD, WV, 261641772Browse WV providers · Browse ZIP 26164
- Phone
- 3042732020
- Fax
- 3042731160
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in RAVENSWOOD, WV
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE R MIZE | O.D. | 1235104480 |
| JESSE BEN MIZE III | O.D. | 1235104068 |
| MR. REX ALLEN CUMMINGS | OD | 1730257809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.