DR. Jeffery Clyde Locke

NPI #1174503387 in Melbourne, Florida

Provider Information

NPI Number: 1174503387
Entity Type: Individual
Name: DR. Jeffery Clyde Locke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jan 23, 2006
Last Updated: Feb 14, 2008

Practice Location

Address: 2420 S BABCOCK ST
City: Melbourne
State: Florida
ZIP Code: 32901-5356
Phone: (321) 725-4755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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