DR. Jeffrey Clay Fogt, OD

NPI #1427041342 in Defiance, Ohio

Provider Information

NPI Number: 1427041342
Entity Type: Individual
Name: DR. Jeffrey Clay Fogt, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 25, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 101 CLINTON ST
Address 2: STE 1000
City: Defiance
State: Ohio
ZIP Code: 43512-2176
Phone: (419) 782-4831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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