NPI 1003016361

Christopher J Jacquinot, OD

Practitioner Optometrist Pittsburg, KS

Practice location

Address: 2521 N Broadway St, Pittsburg, KS 66762-2620
Phone: (620) 235-1737
Fax: (620) 230-0358
Mailing address: 101 W 29th St Suite G, Pittsburg, KS 66762-2696

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1777 (KS)

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Registry record

NPI: 1003016361
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2007
Record last updated: 26 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.