MR. JERRY CURTIS ELDER


Address: 2124 Langhorne Road, Lynchburg, VA 24501-1424
Phone: 4348456120

MR. JERRY CURTIS ELDER (NPI# 1629121983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629121983
Entity Type Individual
Full Name MR. JERRY CURTIS ELDER
Credential OPTICIAN PRESIDENT O
Practice Address 2124 Langhorne Road
Lynchburg
VA 24501-1424
Practice Telephone 4348456120
Practice Fax Number 4348456120
Mailing Telephone 4348456120
Mailing Fax Number 4348456120
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
433 VA Eye and Vision Services Providers

Office Location

Street Address 2124 LANGHORNE ROAD
City LYNCHBURG
State VA
Zip Code 24501-1424

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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City LYNCHBURG
Zip Code 24501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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