Stephen S Jennings Od LLC

NPI #1558373621 in Richmond, Virginia

Provider Information

NPI Number: 1558373621
Entity Type: Organization
Organization Name: Stephen S Jennings Od LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 13, 2006
Last Updated: Feb 23, 2010

Practice Location

Address: 2301 HILLIARD RD
Address 2: SUITE 3
City: Richmond
State: Virginia
ZIP Code: 23228-4525
Phone: (804) 262-5142

Authorized Official

Name: DR. STEPHEN SELPH JENNINGS, O.D.
Title: SOLE MANGER, PRESIDENT, SECRETARY
Phone: (804) 262-5142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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