JESSICA T. DO (NPI# 1053935908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053935908 |
| Entity Type | Individual |
| Full Name | JESSICA T. DO |
| Credential | OD |
| Practice Address |
9475 Roosevelt Blvd Philadelphia PA 19114-2212 |
| Practice Telephone | 2156987600 |
| Mailing Telephone | 2156987600 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG003670 | PA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4255 J St, Philadelphia, PA 191244803 | 2158696345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978070 | Jessica Do | Technician, Other | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2019-02-14 |
| 1881169944 | Jessica Do | Dentist | 9010 Bolsa Ave, Westminster, CA 92683-5531 | 2018-10-04 |
| 1427487461 | Jessica Do | Marriage & Family Therapist | 1287 Fulton Rd, Santa Rosa, CA 95401-4923 | 2013-11-08 |
| 1043516974 | Jessica Myhang Do | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1545 | 2011-02-10 |
| Street Address |
9475 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784740 | Susan E Weidman | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2005-10-13 |
| 1912488784 | Staci Drybala | Occupational Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2018-08-28 |
| 1053821108 | Caitlyn Blair | Specialist/Technologist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2017-10-03 |
| 1750809018 | Rada Whyne | Occupational Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2017-09-06 |
| 1083166425 | Katherine Currie | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-11-02 |
| 1609324672 | Emily Carangelo | Speech-Language Pathologist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-09-19 |
| 1235687609 | Puja Desai | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-09-14 |
| 1053867713 | Namrataben Patel | Physical Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-08-31 |
| 1558717355 | Dorian Billow | Occupational Therapist | 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 | 2016-05-11 |
| 1396104329 | Brittani Jo Jensen | Specialist/Technologist | 9475 Roosevelt Blvd, B4, Philadelphia, PA 19114-2212 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994923 | Chauncey Eyecare Associates Pllc | Optometrist | 6001 N 5th St Ofc, Philadelphia, PA 19120-1873 | 2019-10-28 |
| 1427604982 | Wendy Lin | Optometrist | 2828 Almond St, Philadelphia, PA 19134-4710 | 2019-08-12 |
| 1174182588 | Harbison Eye Care LLC | Optometrist | 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 | 2019-06-10 |
| 1346809738 | Steven Judson Moon | Optometrist | 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 | 2019-06-10 |
| 1639644172 | Om Optical | Optometrist | 1318 Walnut St, Philadelphia, PA 19107-5410 | 2018-10-11 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1508365784 | C Vision Inc | Optometrist | 1230 Chestnut St, Philadelphia, PA 19107-4849 | 2018-02-02 |
| 1043737943 | Wills Eye Optical Two, LLC | Optometrist | 800 Arch St, Philadelphia, PA 19107-3188 | 2017-08-23 |
| 1255854295 | Jin Gao | Optometrist | 602 N 11th St, Philadelphia, PA 19123-3324 | 2017-07-21 |
| 1043765050 | Chauncey Brown Jr. | Optometrist | 6001 N 5th Street, Office, Philadelphia, PA 19120-1825 | 2016-08-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.