Dr. Jeanette Jezick OD., LLC
Optometrist in Gales Ferry, Connecticut
1144556192- Practice location
- 1663 Route 12, Gales Ferry, CT 06335-1500
- Phone
- 860-464-1040
- Fax
- 860-464-1044
- Last updated
- October 27, 2009
Dr. Jeanette Jezick OD., LLC is a healthcare organization based in Gales Ferry, CT. Dr. Jeanette Jezick OD., LLC practices in Gales Ferry, CT. The NPI Number for Dr. Jeanette Jezick OD., LLC is 1144556192 and holds a License No. 002353 (CT). The current practice location address for Dr. Jeanette Jezick OD., LLC is 1663 Route 12, Gales Ferry, CT 06335-1500 and can be reached out via phone at 860-464-1040 and via fax at 860-464-1044.
Provider Profile Details
- NPI Number
- 1144556192
- Provider Name
- Dr. Jeanette Jezick OD., LLC
- Provider Entity Type
- Organization
- Address
- 1663 Route 12, Gales Ferry, CT 06335-1500
- Phone Number
- 860-464-1040
- Fax Number
- 860-464-1044
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Peter Wilbanks · Manager · 860-464-1040
- Other Names
- Eyecare Expressions (Doing Business As)
- Provider Enumeration Date
- October 27, 2009
- Last Update Date
- October 27, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1663 Route 12
Gales Ferry, CT 06335-1500 - City
- Gales Ferry
- State
- Connecticut
- Zip
- 06335-1500
- Phone Number
- 860-464-1040
- Fax Number
- 860-464-1044
Provider Business Mailing Address Details
- Address
- 1663 Route 12
Po Box 421
Gales Ferry, CT 06335-1500 - City
- Gales Ferry
- State
- CT
- Zip
- 06335-1500
- Phone Number
- 860-464-1040
- Fax Number
- 860-464-1044
License Information
- License Number
- 002353
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Gales Ferry, CT
View all Optometrists in Gales Ferry →Frequently Asked Questions
What is the NPI number of Dr. Jeanette Jezick OD., LLC?
The NPI number of Dr. Jeanette Jezick OD., LLC is 1144556192. It was assigned on October 27, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeanette Jezick OD., LLC?
Dr. Jeanette Jezick OD., LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002353.
Where does Dr. Jeanette Jezick OD., LLC practice?
The practice location is 1663 Route 12, Gales Ferry, CT 06335-1500. The office can be reached at 860-464-1040 (phone) or 860-464-1044 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144556192 directly on the NPPES registry website.