Individual
DR. NORMA J JESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6621 CENTER RD, VALLEY CITY, OH 44280-9748
(330) 483-4035
Mailing address
6621 CENTER RD, VALLEY CITY, OH 44280-9748
(330) 483-4035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4202 T-178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137693
BLUE CROSS IDENTIFIER
OH
01
—
54447
QUAL CHOICE IDENTIFIER
OH
Enumeration date
10/20/2006
Last updated
06/09/2014
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