DR. JEANETTE JEZICK (NPI# 1922019918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922019918 |
| Entity Type | Individual |
| Full Name | DR. JEANETTE JEZICK |
| Credential | OD |
| Practice Address |
1663 Route 12 Gales Ferry CT 06335-1500 |
| Mailing Address |
1663 Route 12 Po Box 421 Gales Ferry CT 06335-1500 |
| Practice Telephone | 8604641040 |
| Practice Fax Number | 8604641044 |
| Mailing Telephone | 8604641040 |
| Mailing Fax Number | 8604641044 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002353 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004132429 | 05 |
| Street Address |
1663 ROUTE 12 |
| City | GALES FERRY |
| State | CT |
| Zip Code | 06335-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144556192 | Dr. Jeanette Jezick Od., LLC | Optometrist | 1663 Route 12, Gales Ferry, CT 06335-1500 | 2009-10-27 |
| 1134239718 | Robert Charles Barnett | Chiropractor | 1663 Route 12, Gales Ferry, CT 06335-1500 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265656284 | Andrew Roger Goldman | Dentist | 1550 Rt 12, Gales Ferry, CT 06335 | 2007-04-12 |
| 1053772335 | Steven Joseph Dias | Dentist | 1527 Route 12, Gales Ferry, CT 06335 | 2016-03-14 |
| 1700895729 | Eastern Connecticut Rehabili | Clinic/Center | 1666 Route 12, Gales Ferry, CT 06335 | 2006-08-07 |
| 1568547321 | Randall D Harris Dds PC | Dentist | 1527 Route 12, Gales Ferry, CT 06335-0396 | 2006-10-27 |
| 1427184597 | Foong-yi Lin | Pediatrics | 1527 Rt 12, Box 608, Gales Ferry, CT 06335-0608 | 2007-02-25 |
| 1902841299 | Wendy P Login | Social Worker | 27 Bittersweet Dr, Gales Ferry, CT 06335-1002 | 2006-06-19 |
| 1154308864 | Stephen Joseph Reilly | Pharmacist | 28 Bittersweet Dr, Gales Ferry, CT 06335-1003 | 2005-12-23 |
| 1649653015 | Kathleen Ann Epperson | Occupational Therapist | 3 Clark Ln, Gales Ferry, CT 06335-1106 | 2015-07-02 |
| 1356633598 | Simon Matthew Makuchowski | Military Health Care Provider | 4 Oakridge Dr, Gales Ferry, CT 06335-1111 | 2011-05-06 |
| 1194905208 | Shoreline Speech & Language Center | Speech-Language Pathologist | 7 Kerrie Ct, Gales Ferry, CT 06335-1115 | 2007-11-06 |
| Find all providers in zip 06335 | ||||
| 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 |
|---|---|---|---|---|
| 1487648051 | Mark T Lopez | Optometrist | 1026 Long Cove Rd, Gales Ferry, CT 06335-1812 | 2005-09-09 |
| 1144556192 | Dr. Jeanette Jezick Od., LLC | Optometrist | 1663 Route 12, Gales Ferry, CT 06335-1500 | 2009-10-27 |
| 1376715680 | Mark T Lopez Od PC | Optometrist | 1026 Long Cove Rd, Gales Ferry, CT 06335-1812 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1588279590 | Eyes On Nigrelli, LLC | Optometrist | 18 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-09-15 |
| 1558973289 | Solinsky Eyecare LLC | Optometrist | 55 Nye Rd Ste 104, Glastonbury, CT 06033-1281 | 2020-08-24 |
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1013525302 | Eyeconic Vision Care LLC | Optometrist | 500 Andrews Way Apt 102, South Windsor, CT 06074-9601 | 2020-07-22 |
| 1295351104 | Victor Paul | Optometrist | 1920 Norwich New London Tpke, Uncasville, CT 06382-1384 | 2020-06-17 |
| 1700410727 | Optimized Vision & Eye Care LLC | Optometrist | 20 Division St, Derby, CT 06418-1430 | 2020-02-28 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| Find all providers with the same taxonomy | ||||
| City | GALES FERRY |
| Zip Code | 06335 |
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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.