Individual
DR. JANET ROSE FETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1000 W 29TH ST, SUITE 302, SOUTH SIOUX CITY, NE 68776-3153
(402) 494-5533
(402) 494-5534
Mailing address
1000 W 29TH ST, SUITE 302, SOUTH SIOUX CITY, NE 68776-3153
(402) 494-5533
(402) 494-5534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
522
SD
152W00000X
Optometrist
915
IA
152W00000X
Optometrist
Primary
957
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0392900001
DMERC
—
05
—
47076275100
—
NE
Enumeration date
07/26/2006
Last updated
11/20/2007
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