National Provider Identifier Database

JESSICA J CONNOLLY, OD – NPI #1285776575
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JESSICA J CONNOLLY, OD
12121 E BROADWAY AVE STE 1
BLDG 1
SPOKANE VALLEY, WA99206-4972
Phone: 509-928-1212
Fax: 509-924-5035
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JESSICA J CONNOLLY

NPI Number 1285776575
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/13/2007
Last updated 05/07/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 3186T
  • WA License #: 4120
  • WA Medicaid: 2006125
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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