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NPI Code Detail

MEDICARE: JESSICA ANN KREINBRINK

MEDICARE: JESSICA ANN KREINBRINK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist006753OH

General Provider Information

NPI Number : 1568011021
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ANN KREINBRINK
Provider Business Mailing Address
First Line : 1121 AFTON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-1603
Country : US
Telephone Number : 419-969-9290
Fax Number :
Provider Business Practice Location Address
First Line : 4012 EASTON STA
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6080
Country : US
Telephone Number : 614-476-2586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2019
Last Update Date : 08/03/2020

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Directions to “ JESSICA ANN KREINBRINK ” Practice Location

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