DR. Jessica Chiyoko Fedor, O.D.

NPI #1801980537 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1801980537
Entity Type: Individual
Name: DR. Jessica Chiyoko Fedor, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 3, 2006
Last Updated: Aug 27, 2019

Practice Location

Address: 9055 SPRINGBROOK DR NW
City: Coon Rapids
State: Minnesota
ZIP Code: 55433
Phone: (763) 780-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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