Jeffrey S Porter OD PC
Jeffrey S Porter OD PC is an Optometrist in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1205 S Il Route 31Crystal Lake, IL 60014-8213
Phone: (915) 477-4053
Fax: (815) 477-4302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 04608991 (IL) |
|---|
Record details
| NPI number | 1356525489 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Porter — President · (847) 323-8501 |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | August 20, 2020 |
| Certification date | August 20, 2020 |
| Mailing address | 3912 Valley View Rd, Crystal Lake, IL 60012-2104 |
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