National Provider Identifier

Jolene Lynette Summa

Jolene Lynette Summa is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 424-5970.

NPI 1255990594Rochester, NYOptician

Profile Overview

NPI
1255990594
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
June 11, 2019
Last Updated
June 11, 2019

Practice Location

  • 3333 W Henrietta RD Ste 31
  • Rochester, NY 14623-3543

Phone: (585) 424-5970

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1255990594
Entity Type
Individual
Last Name
Summa
First Name
Jolene
Middle Name
Lynette
Name Prefix
Mrs.
Mailing Street Address
3333 W Henrietta RD Ste 31
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-3543
Mailing Country
US
Mailing Phone
(585) 424-5970
Practice Street Address
3333 W Henrietta RD Ste 31
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3543
Practice Country
US
Practice Phone
(585) 424-5970
Enumeration Date
June 11, 2019
Last Updated
June 11, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)