Individual
JESSAMYN KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
822 PARK AVE, BEAVER DAM, WI 53916-2206
(920) 887-3791
Mailing address
6 SEVEN PINES CT, MADISON, WI 53718-3153
(608) 444-1840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3381-35
WI
Other
Enumeration date
07/09/2015
Last updated
07/21/2022
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