NPI 1609493287 · live from the CMS NPI Registry
Jennifer Ann Minnick, OD
Optometrist in Spring House, PA. National Provider Identifier 1609493287, active.
NPI record
| NPI | 1609493287 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1005 Penllyn Pike, Spring House, PA 19477 |
| Practice phone | 215-628-8799 |
| Mailing address | Po Box 75, Spring House, PA 19477 |
| Enumerated | June 30, 2020 |
| Last updated | July 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Optometrist primary | 152W00000X | OEG003695 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.