Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE LEWIS, OD
ActiveJAKE LEWIS, OD is a Optometrist healthcare provider located in DYERSBURG, Tennessee. NPI 1629635354 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DYERSBURG, TN
Registration Details
- NPI Number
- 1629635354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2019 (7.2202601462105 yrs)
- Last Updated
- May 29, 2019
- License
-
2019016593 (MO)
Practice Information
- Address
-
1502 BRAYTON AVEDYERSBURG, TN, 380243159Browse TN providers · Browse ZIP 38024
- Phone
- 7312855411
- Fax
- 7312858481
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DYERSBURG, TN
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM ANTHONY BACIGALUPO | — | 1215977822 |
| DR. BRIAN KEITH ROBINSON | O.D. | 1164462776 |
| COURTNEY CAPE IRVIN | OD | 1396398855 |
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.