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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY S PORTER OD PC

Active Organization

JEFFREY S PORTER OD PC is a Optometrist organization located in CRYSTAL LAKE, Illinois. NPI 1356525489 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CRYSTAL LAKE, IL

Registration Details

NPI Number
1356525489
Provider Type
Organization
NPI Issued
Dec 26, 2007 (18.644525886691 yrs)
Last Updated
Aug 20, 2020
License
04608991 (IL)

Practice Information

Address
1205 S IL ROUTE 31
CRYSTAL LAKE, IL, 600148213
Browse IL providers · Browse ZIP 60014
Phone
9154774053
Fax
8154774302
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in CRYSTAL LAKE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.