Organization
JESSICA CROOKER, O.D., PLLC
Active
Other names
Scituate Harbor Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MARIE CROOKER O.D. (OWNER)
(781) 545-0792
Entity
Organization
Contact information
Practice address
85 FRONT ST UNIT 81, SCITUATE, MA 02066-1315
(781) 545-0792
(781) 545-4323
Mailing address
85 FRONT ST UNIT 81, SCITUATE, MA 02066-1315
(781) 545-0792
(781) 545-4323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4949
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184166449
GROUP NPI
MA
Enumeration date
11/17/2016
Last updated
01/25/2017
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