National Provider Identifier Database

EDWARD R JETT, OPTICIAN – NPI #1255847802
Optician


Contact Information

EDWARD R JETT, OPTICIAN
6265 BROCKPORT SPENCERPORT RD
BROCKPORT, NY14420
Phone: 585-395-0456
Fax: 585-395-1195
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for EDWARD R JETT

NPI Number 1255847802
Credentials OPTICIAN
Entity Individual
Enumeration date 12/19/2017
Last updated 12/19/2017 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 007668-1
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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