Individual
JESSE ERIN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2801 FREDERICK RD, OPELIKA, AL 36801-7101
(334) 679-1183
Mailing address
303 NORTHGATE BLVD, AUBURN, AL 36830-4431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F61-TA-D76
AL
Other
Enumeration date
06/02/2025
Last updated
08/19/2025
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