National Provider Identifier
Jamie Dettman
Jamie Dettman is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 244-0332.
Profile Overview
- NPI
- 1922580455
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- August 31, 2018
- Last Updated
- August 31, 2018
Practice Location
- 2301 Lac De Ville Blvd
- Rochester, NY 14618-5646
Phone: (585) 244-0332
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1922580455
- Entity Type
- Individual
- Last Name
- Dettman
- First Name
- Jamie
- Mailing Street Address
- 2301 Lac De Ville Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5646
- Mailing Country
- US
- Mailing Phone
- (158) 524-4503
- Practice Street Address
- 2301 Lac De Ville Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5646
- Practice Country
- US
- Practice Phone
- (585) 244-0332
- Enumeration Date
- August 31, 2018
- Last Updated
- August 31, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)