Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAN PENNINGTON WISHOFF, O.D.
ActiveDR. JAN PENNINGTON WISHOFF, O.D. is a Optometrist healthcare provider located in BRIARCLIFF, Texas. NPI 1669454120 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BRIARCLIFF, TX
Registration Details
- NPI Number
- 1669454120
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2005 (20.556623423635 yrs)
- Last Updated
- Oct 4, 2013
- Licenses
-
OPC2259 (FL)3545TG (TX)
Practice Information
- Address
-
805 PAISLEY DR14BRIARCLIFF, TX, 786692432Browse TX providers · Browse ZIP 78669
- Phone
- 5127913736
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
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.