Healthcare Provider Details
I. General information
NPI: 1477589687
Provider Name (Legal Business Name): JEFFREY L. MORER, OD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2006
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
655 METRO PL S STE 600
DUBLIN OH
43017-3394
US
IV. Provider business mailing address
100 CROSSING BLVD SUITE 300
FRAMINGHAM MA
01702-5555
US
V. Phone/Fax
- Phone: 888-964-4668
- Fax: 888-662-0859
- Phone: 617-964-6681
- Fax: 339-686-2561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFREY
L.
MORER
Title or Position: OWNER/PRESIDENT
Credential: OD
Phone: 617-964-6681