JAKE LEWIS

DYERSBURG, TN
NPI1629635354
Former NameJAKE LEWIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  2019016593)
Enumeration Date2019-05-29
Last Update Date2019-05-29
Business Address
JAKE LEWIS OD
1502 BRAYTON AVE
DYERSBURG, TN 38024-3159
Phone number: 731-285-5411
Mailing Address
JAKE LEWIS OD
1502 BRAYTON AVE
DYERSBURG, TN 38024-3159
Phone number: 731-285-5411