Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY LEE JUDAH
Active Sole ProprietorJEFFERY LEE JUDAH is a Optician, Dispensing healthcare provider located in THE DALLES, Oregon. NPI 1336287648 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · THE DALLES, OR
Registration Details
- NPI Number
- 1336287648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.548493353518 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
317 E 2ND STTHE DALLES, OR, 970582107Browse OR providers · Browse ZIP 97058
- Phone
- 5412965878
- Fax
- 5412963434
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.