Individual
JENNA NIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7800 MONTGOMERY RD UNIT 5, CINCINNATI, OH 45236-4306
(513) 793-5970
(513) 793-5976
Mailing address
2011 N ROAN ST, SPACE E-6, JOHNSON CITY, TN 37601-3130
(423) 610-7155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006731
OH
152W00000X
Optometrist
0618002513
VA
152W00000X
Optometrist
3348
TN
Other
Enumeration date
06/21/2016
Last updated
07/11/2019
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