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General NPI Number Information
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NPI Number | 1073185112
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Entity Type | Organization
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Legal Business Name | DR JEFFREY J YOCUM
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 637 FERRY ST
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City | LAFAYETTE
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State | IN
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Zip | 47901-1143
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Country | US
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Telephone | 765-742-2930
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Fax | 765-429-6160
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Provider Business Mailing Address
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Address Line | 637 FERRY ST
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City | LAFAYETTE
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State | IN
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Zip | 47901-1143
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Country | US
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Telephone | 765-742-2930
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | JEFFREY YOCUM
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Credential | OD
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Telephone | 765-742-2930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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