Jessica Mary Bearer OD

NPI 1093880080 - Optometrist - 152W00000X

NPI Details
NPI 1093880080
Gender Female
Enumeration Date 11/22/2006
Last Updated 12/29/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
12606 HOLLY RD
GRAND BLANC MI, 48439, US
Phone (810) 694-3652
Fax (810) 694-0963
Business Location
12606 HOLLY RD
GRAND BLANC MI, 48439-2447, US
Phone (810) 694-3652
Fax (810) 694-0963
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901004285
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According to our database, Dr. Jessica Mary Bearer OD NPI is 1093880080, taxonomy code is 152W00000X and license number is 4901004285, license state is located at Michigan. Jessica Mary Bearer OD physically located at 12606 Holly Rd, Grand Blanc MI, 48439. NPI Number Jessica Mary Bearer OD has the Individual type.

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1093880080 NPI number is provided on an as is basis without warranty of any kind. 1093880080 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Mary Bearer OD are for informational purposes only.