National Provider Identifier

Jennifer Jeanne Proia-Cessna, OPTICIAN

Jennifer Jeanne Proia-Cessna, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1235161100Brockport, NYOptician

Profile Overview

NPI
1235161100
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
July 07, 2006
Last Updated
September 05, 2007

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1235161100
Entity Type
Individual
Last Name
Proia-Cessna
First Name
Jennifer
Middle Name
Jeanne
Name Prefix
Mrs.
Credential
OPTICIAN
Provider Other Last Name
Proia
Provider Other First Name
Jennifer
Provider Other Middle Name
Jeanne
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
OPTICIAN
Provider Other Last Name Type Code
1
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
July 07, 2006
Last Updated
September 05, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
17209159 (NY, Excellus Vendor #), 1598707812 (NY, Oak Orchard Brockport NPI), 179014CT (NY, Preferred Care Vendor #)