Jessica Lynne Smith, OD

NPI #1922537653 in Brookfield, Wisconsin

Provider Information

NPI Number: 1922537653
Entity Type: Individual
Name: Jessica Lynne Smith, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 6, 2017
Last Updated: Dec 9, 2022

Practice Location

Address: 200 S EXECUTIVE DR STE 101
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4216
Phone: (888) 964-6681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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