Norris, Jessica W.

Norris, Jessica W. is an individual health care provider with primary practice located at 2715 Willetta St Sw , Albany OR 97321-3471. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Norris, Jessica W. can be contacted via phone (541) 926-5848.

Contact Information

Primary practice address
2715 Willetta St Sw Albany OR 97321-3471
Fax: (541) 926-2873
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2935AT Oregon

Profile Details

NPI number 1124052261
LBN Legal business name Norris, Jessica W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124052261 NPPES
Oregon MEDICAID 275259

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