National Provider Identifier
Jennifer K Yerden
Jennifer K Yerden is listed in the NPPES registry with a primary specialty of Optician in Canandaigua, NY and a listed phone number of (585) 905-0029.
Profile Overview
- NPI
- 1174219026
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- April 13, 2023
- Last Updated
- April 13, 2023
Practice Location
- 230 S Main St
- Canandaigua, NY 14424-2115
Phone: (585) 905-0029
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1174219026
- Entity Type
- Individual
- Last Name
- Yerden
- First Name
- Jennifer
- Middle Name
- K
- Mailing Street Address
- 230 S Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2115
- Mailing Country
- US
- Mailing Phone
- (585) 905-0029
- Practice Street Address
- 230 S Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2115
- Practice Country
- US
- Practice Phone
- (585) 905-0029
- Practice Fax
- (855) 606-4220
- Enumeration Date
- April 13, 2023
- Last Updated
- April 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)