National Provider Identifier
Jonelle Olivia Green, OD
Jonelle Olivia Green, OD is listed in the NPPES registry with a primary specialty of Optometrist in Fredonia, NY and a listed phone number of (716) 679-3180.
Profile Overview
- NPI
- 1467960732
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- January 19, 2018
- Last Updated
- January 19, 2018
Practice Location
- 10401 Bennett RD
- Fredonia, NY 14063-1402
Phone: (716) 679-3180
Mailing Address
- 1816 W 24Th St
- Erie, PA 16502-2022
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1467960732
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Jonelle
- Middle Name
- Olivia
- Credential
- OD
- Mailing Street Address
- 1816 W 24Th St
- Mailing City
- Erie
- Mailing State
- PA
- Mailing ZIP Code
- 16502-2022
- Mailing Country
- US
- Mailing Phone
- (954) 559-1957
- Practice Street Address
- 10401 Bennett RD
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1402
- Practice Country
- US
- Practice Phone
- (716) 679-3180
- Enumeration Date
- January 19, 2018
- Last Updated
- January 19, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)