Dr. Jeffrey D. Irvin
Optometrist
634 Cross Valley Cir
Evansville
, Indiana 47710-5238
Dr. Jeffrey D. Irvin
Optometrist
634 Cross Valley Cir
Evansville
, Indiana 47710-5238
(812) 768-6523
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey D. Irvin
- Rr 2 Box 566
- Haubstadt, IN
- Zip : 47639-9501
- Phone : (812) 768-6523
Second Address
- Dr. Jeffrey D. Irvin
- 634 Cross Valley Cir
- Evansville, IN
- Zip : 47710-5238
- Fax : (812) 429-0392
- Phone : (812) 401-7777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003164 | IN |
National Provider Identifier
| NPI | 1013025683 |
|---|---|
| Provider Name | Dr. Jeffrey D. Irvin |
| First Address | Haubstadt, IN 47639-9501 |
| Second Address | Evansville, IN 47710-5238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 30/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200394550 | (05) | IN |
| 4484690001 | DMEPOS (01) | IN |
| P00928487 | RAILROAD MEDICARE (01) | IN |
| U91811 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.