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NPI Code Detail

MEDICARE: DR. JEFFREY GEORGE JR. OD

MEDICARE:  DR. JEFFREY  GEORGE JR. OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist10407TX
2152W00000XOptometrist046011549IL

General Provider Information

NPI Number : 1407510035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY GEORGE JR. OD
Provider Business Mailing Address
First Line : 18 S EVERGREEN AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18 S EVERGREEN AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1428
Country : US
Telephone Number : 847-253-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2021
Last Update Date : 09/08/2023

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Directions to “ DR. JEFFREY GEORGE JR. OD” Practice Location

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