Individual
DR. JOHN W. JESKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
335 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Mailing address
335 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1015DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052153
ANTHEM
KY
01
—
000000215459
ANTHEM
KY
01
—
0063
SPECTERA
KY
01
—
126773001
DMERC
KY
01
—
126773002
DMERC
KY
01
—
135412
COLE MANAGE VISION
KY
01
—
39418
DAVIS VISION
KY
05
—
77010155
—
KY
01
—
9361403
MEDICARE
KY
01
—
KY1015
EYEMED VISION CARE
KY
01
—
VILLEOPTICAL
VISION SERVICE PLAN
KY
Enumeration date
01/26/2007
Last updated
01/07/2015
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