Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME THADDEUS MEDLEY, M.D.
Active Sole ProprietorJEROME THADDEUS MEDLEY, M.D. is a Optometrist healthcare provider located in GRETNA, Louisiana. NPI 1396879086 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GRETNA, LA
Registration Details
- NPI Number
- 1396879086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2007 (19.39932106542 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3145R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 MEADOWCREST STSUITE 330GRETNA, LA, 700565255Browse LA providers · Browse ZIP 70056
- Phone
- 5043917560
- Fax
- 5043942269
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GRETNA, LA
| Name | Credential | NPI |
|---|---|---|
| ERROL M. BLOOM | O.D. | 1336129923 |
| JEFF JESKIN | OD | 1174670335 |
| DR. LEAH ELIZABETH HEITMEIER | O.D. | 1902456296 |
| ASHLEY VU | OD | 1396425906 |
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.