Individual
JENNA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
28 BLANDING BLVD, ORANGE PARK, FL 32073-2202
(904) 264-5483
(904) 213-0515
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5174
FL
152WV0400X
Vision Therapy Optometrist
OPC5174
FL
Other
Enumeration date
07/29/2015
Last updated
08/08/2024
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