Jacob B Vergin, O.D.

NPI #1710185442 in Chippewa Falls, Wisconsin

Provider Information

NPI Number: 1710185442
Entity Type: Individual
Name: Jacob B Vergin, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 3, 2007
Last Updated: Jun 23, 2008

Practice Location

Address: 331 E PRAIRIE VIEW RD
City: Chippewa Falls
State: Wisconsin
ZIP Code: 54729-3463
Phone: (715) 726-9077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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