NPI 1104408392

Jessica Deng

Practitioner Optometrist West Haven, CT

Practice location

Address: 950 Campbell Ave, West Haven, CT 06516-2770
Phone: (203) 932-5711
Mailing address: 1954 85th St, Brooklyn, NY 11214-3102

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3225 (CT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104408392
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2021
Record last updated: 4 Oct 2021

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.