NPI 1144559188

Jessica Medina

Practitioner Optometrist Cranston, RI

Practice location

Address: 1150 Reservoir Ave, Cranston, RI 02920-6068
Phone: (401) 943-8151
Mailing address: 14 Eaton St, North Smithfield, RI 02896-7806

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODTG00546 (RI)

Other Optometrist providers in Rhode Island →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4752 (MA)

Registry record

NPI: 1144559188
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2009
Record last updated: 22 Dec 2009

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.