Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD RENEA JETT, OPTICIAN
Active Sole ProprietorMR. EDWARD RENEA JETT, OPTICIAN is a Optician, Dispensing healthcare provider located in BROCKPORT, New York. NPI 1255847802 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BROCKPORT, NY
Registration Details
- NPI Number
- 1255847802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2017 (8.6116250741504 yrs)
- Last Updated
- Dec 19, 2017
- License
-
007668-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6265 BROCKPORT SPENCERPORT RDBROCKPORT, NY, 14420Browse NY providers · Browse ZIP 14420
- Phone
- 5853950456
- Fax
- 5853951195
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in BROCKPORT, NY
| Name | Credential | NPI |
|---|---|---|
| ALICIA MARIE RICH | OPTICIAN | 1710919923 |
| MISS GINA MARIE LIPPA | OPTICIAN | 1497787600 |
| MRS. JENNIFER JEANNE PROIA-CESSNA | OPTICIAN | 1235161100 |
| MRS. LEELEE MUESEBECK | OPTICIAN | 1740350370 |
| MICHELLE L DAMICO | — | 1093380768 |
| MRS. JACQUELINE FERRIS | LDO | 1306664081 |
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.