Individual
JENNA RAE STOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6725 MIAMI AVE STE 101, CINCINNATI, OH 45243-3158
(513) 561-7076
Mailing address
6725 MIAMI AVE STE 101, CINCINNATI, OH 45243-3158
(513) 561-7076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
61062249
WA
152W00000X
Optometrist
OD.OD.61062249
WA
152W00000X
Optometrist
Primary
OPT.007115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2190934
—
WA
Enumeration date
03/27/2020
Last updated
06/06/2024
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