JEFFERY JAY PASS

LAFAYETTE, IN
NPI1265414064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002083B)
Enumeration Date2005-11-17
Last Update Date2016-01-24
Business Address
-- JEFFERY JAY PASS OD
2200 ELMWOOD AVE STE D-4
LAFAYETTE, IN 47904-2347
Phone number: 765-446-2814
Mailing Address
-- JEFFERY JAY PASS OD
2200 ELMWOOD AVE STE D-4
LAFAYETTE, IN 47904-2347
Phone number: 765-446-2814