Derek Jeanes

NPI #1043909229 in Prescott, Arizona

Provider Information

NPI Number: 1043909229
Entity Type: Individual
Name: Derek Jeanes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: May 3, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 3192 WILLOW CREEK RD
City: Prescott
State: Arizona
ZIP Code: 86301-6610
Phone: (928) 445-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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