National Provider Identifier
Jacqueline Ferris, LDO
Jacqueline Ferris, LDO is listed in the NPPES registry with a primary specialty of Optician in Brockport, NY and a listed phone number of (585) 395-0456.
Profile Overview
- NPI
- 1306664081
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- October 01, 2024
- Last Updated
- October 01, 2024
Practice Location
- 6265 Brockport Spencerport RD
- Brockport, NY 14420-2605
Phone: (585) 395-0456
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1306664081
- Entity Type
- Individual
- Last Name
- Ferris
- First Name
- Jacqueline
- Name Prefix
- Mrs.
- Credential
- LDO
- Mailing Street Address
- 6265 Brockport Spencerport RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2605
- Mailing Country
- US
- Mailing Phone
- (585) 395-0456
- Practice Street Address
- 6265 Brockport Spencerport RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2605
- Practice Country
- US
- Practice Phone
- (585) 395-0456
- Enumeration Date
- October 01, 2024
- Last Updated
- October 01, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)