Jeffrey I Wynn Od Ltd

NPI #1750512257 in Dumfries, Virginia

Provider Information

NPI Number: 1750512257
Entity Type: Organization
Organization Name: Jeffrey I Wynn Od Ltd
Primary Specialty: Optometrist
Enumeration Date: Jul 31, 2009
Last Updated: Jul 31, 2009

Practice Location

Address: 17614 MAIN ST
City: Dumfries
State: Virginia
ZIP Code: 22026-2359
Phone: (703) 221-3575

Authorized Official

Name: DR. JEFFREY IAN WYNN, OD
Title: PRESIDENT
Phone: (703) 221-3575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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