JESSE MIZE III, O.D.
Optometrist
Active
Individual
NPI: 1235104068
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 924-OD (WV) |
Frequently Asked Questions
NPI 1235104068 is the National Provider Identifier for JESSE MIZE III, O.D., a Optometrist provider located in Ravenswood, WV. This NPI was enumerated on February 23, 2006.
JESSE MIZE III, O.D. practices at 706 WASHINGTON ST, Ravenswood, WV 26164.
Quick Facts
- NPI
- 1235104068
- Type
- Individual
- Enumerated
- Feb 23, 2006
- Last Updated
- Feb 12, 2010
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