Jessica J Connolly in Spokane Valley - Optometrist
Jessica J Connolly - NPI 1285776575
Jessica J Connolly is a Optometrist in Spokane Valley, Washington. Jessica J Connolly practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jessica J Connolly is 1285776575. The last update date is 2013-05-07.
Jessica J Connolly's current location address is 12121 E Broadway Ave, Spokane Valley, Washington. You can contact this provider via phone number 5099281212 and fax number 5099245035. The mailing address for Jessica J Connolly is 12121 E Broadway Ave, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica J Connolly |
|---|---|
| Address | 12121 E Broadway Ave, Spokane Valley, Washington |
| Phone Number | 5099281212 |
| Fax Number | 5099245035 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1285776575 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2013-05-07 |
Provider Mailing Address Detail
| Address | 12121 E Broadway Ave |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992064972 |
| Phone Number | 5099281212 |
| Fax Number | 5099245035 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3186T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2006125 | WA | -- |
Post Comment/ Review Below
What is the Jessica J Connolly's 1285776575?
The Jessica J Connolly's NPI (National Provider Identifier) Number is 1285776575. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jessica J Connolly's facilities are geographically located?
The facilities of Jessica J Connolly are physically situated at the following location: 12121 E Broadway Ave, Spokane Valley, WA, 992064972.
What is Jessica J Connolly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica J Connolly's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285776575 to Jessica J Connolly?
The Jessica J Connolly received its 1285776575 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details related to Jessica J Connolly most recently updated or revised?
The information pertaining to Jessica J Connolly, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-07.