Active NPIIndividual providerSole proprietor

Jessica Edward, OD

Optometrist in Brooklyn, New York

NPI Number1578304671
Practice location
124 N 6TH St, Brooklyn, NY 11249-3202
Fax
—
Last updated
October 9, 2024

Jessica Edward is an Optometrist based in Brooklyn, NY. Jessica Edward practices in Brooklyn, NY and has the professional credentials of OD. The NPI Number for Jessica Edward is 1578304671 and holds a License No. 5731 (MA). The current practice location address for Jessica Edward is 124 N 6TH St, Brooklyn, NY 11249-3202 and can be reached out via phone at 718-866-4584.

Provider Profile Details

NPI Number
1578304671
Provider Name
Jessica Edward
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
124 N 6TH St, Brooklyn, NY 11249-3202
Phone Number
718-866-4584
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2024
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 N 6TH St
Brooklyn, NY 11249-3202
Zip
11249-3202
Phone Number
718-866-4584
Brooklyn, NY 11249Get directions →

Provider Business Mailing Address Details

Address
550 Arsenal St
Watertown, MA 02472-2853
City
Watertown
State
MA
Zip
02472-2853
Phone Number
857-507-2366

License Information

License Number (1)
5731
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
011075
License State (2)
NY
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Edward, OD?

The NPI number of Jessica Edward, OD is 1578304671. It was assigned on June 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Jessica Edward, OD?

Jessica Edward, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5731.

Where does Jessica Edward, OD practice?

The practice location is 124 N 6TH St, Brooklyn, NY 11249-3202. The office can be reached at 718-866-4584 (phone).

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 1578304671 directly on the NPPES registry website.

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