National Provider Identifier
Jennifer J Dotterweich, OD
Jennifer J Dotterweich, OD is listed in the NPPES registry with a primary specialty of Optometrist in Avon, NY and a listed phone number of (585) 519-4208.
Profile Overview
- NPI
- 1194784694
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- March 22, 2006
- Last Updated
- July 05, 2021
Practice Location
- 243 E Main St
- Avon, NY 14414-1421
Phone: (585) 519-4208
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1194784694
- Entity Type
- Individual
- Last Name
- Dotterweich
- First Name
- Jennifer
- Middle Name
- J
- Credential
- OD
- Mailing Street Address
- 243 E Main St
- Mailing City
- Avon
- Mailing State
- NY
- Mailing ZIP Code
- 14414-1421
- Mailing Country
- US
- Mailing Phone
- (585) 519-4208
- Mailing Fax
- (585) 438-4148
- Practice Street Address
- 243 E Main St
- Practice City
- Avon
- Practice State
- NY
- Practice ZIP Code
- 14414-1421
- Practice Country
- US
- Practice Phone
- (585) 519-4208
- Practice Fax
- (585) 438-4148
- Enumeration Date
- March 22, 2006
- Last Updated
- July 05, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)