Active NPIIndividual providerSole proprietor

Dr. Jeanette Jezick, OD

Optometrist in Gales Ferry, Connecticut

NPI Number1922019918
Practice location
1663 Route 12, Gales Ferry, CT 06335-1500
Fax
860-464-1044
Last updated
August 11, 2009

Jeanette Jezick is an Optometrist based in Gales Ferry, CT. Jeanette Jezick practices in Gales Ferry, CT and has the professional credentials of OD. The NPI Number for Jeanette Jezick is 1922019918 and holds a License No. 002353 (CT). The current practice location address for Jeanette Jezick 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
1922019918
Provider Name
Jeanette Jezick
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1663 Route 12, Gales Ferry, CT 06335-1500
Phone Number
860-464-1040
Fax Number
860-464-1044
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 11, 2006
Last Update Date
August 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1663 Route 12
Gales Ferry, CT 06335-1500
Zip
06335-1500
Phone Number
860-464-1040
Fax Number
860-464-1044
Gales Ferry, CT 06335Get directions →

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

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 Dr. Jeanette Jezick, OD?

The NPI number of Dr. Jeanette Jezick, OD is 1922019918. It was assigned on August 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeanette Jezick, OD?

Dr. Jeanette Jezick, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002353.

Where does Dr. Jeanette Jezick, OD 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 1922019918 directly on the NPPES registry website.

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