Jeffrey Ian Wynn, O.D. Valid NPI

Individual provider · Optometrist · Dumfries, VA

NPI

1154301190

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

0618000150 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-17

Last updated

2009-08-04