National Provider Identifier Database

JEFFERY L SPONSELLER, OD – NPI #1033177563
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JEFFERY L SPONSELLER, OD
3152 WASHINGTON RD
AUGUSTA, GA30907
Phone: 706-651-1291
Fax: 706-210-8090
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JEFFERY L SPONSELLER

NPI Number 1033177563
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/03/2006
Last updated 06/15/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • GA License #: OPT002159
  • SC License #: 1425
  • GA Medicaid: 519944203B
  • SC Medicaid: DG2159
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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