Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE RITA DE JESSE, OD
ActiveJACQUELINE RITA DE JESSE, OD is a Optometrist healthcare provider located in BROOKHAVEN, Pennsylvania. NPI 1164419115 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BROOKHAVEN, PA
Registration Details
- NPI Number
- 1164419115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2005 (20.839594799417 yrs)
- Last Updated
- Nov 25, 2008
- License
-
OEGOO1547 (PA)
Practice Information
- Address
-
4106 EDGMONT AVEBROOKHAVEN, PA, 190152314Browse PA providers · Browse ZIP 19015
- Phone
- 6108728989
- Fax
- 6108725220
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BROOKHAVEN, PA
| Name | Credential | NPI |
|---|---|---|
| DR. CRAIG A CASSEY | O.D. | 1669463535 |
| GARY E. OLIVER | O.D. | 1720170251 |
| DR. OLADIPO O ITABIYI | O.D | 1801122114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.