# DR. JENNIFER M MONCADA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922290949
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1572-604T | LA | Yes |
| 152W00000X | Optometrist | 4634 | MA | — |
| 152W00000X | Optometrist | OPC 4360 | FL | — |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 12/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000025360 | RI BCBS | RI |
| 05 | — | 0715484 | — | MA |
| 05 | — | 1887897 | — | LA |
| 01 | — | AA96447 | HARVARD PILGRIM | MA |