Jesse Ben Mize III, O.D.

NPI #1235104068 in Ravenswood, West Virginia

Provider Information

NPI Number
1235104068
Entity Type
Individual
Name
Jesse Ben Mize III, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Feb 23, 2006
Last Updated
Feb 12, 2010

Practice Location

Address
706 WASHINGTON ST
ZIP Code
26164-1772
Phone
(304) 273-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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