Individual
DR. JENNIFER ANN PALOMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
Mailing address
1520 FOX RUN, TROY, OH 45373-9592
(937) 335-0250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265455455
MEDICARE RAILROAD
OH
01
—
1932223476
OPTICAL SUPPLIER NPI
OH
05
—
2974321
—
OH
Enumeration date
07/26/2006
Last updated
09/29/2011
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