Jeffry S Goldthorpe, O.D. Valid NPI

Individual provider · Optometrist · Portage, WI

NPI

1750318226

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

WI2720 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-28

Last updated

2007-07-08