Individual provider · NPI-1

Dr. Jessica Mary Besen, O.D.

Optometrist · Warwick, RI

NPI number1154738433
StatusActive
Last updated in NPPESSep 21, 2022

Details

NPI
1154738433
Entity type
Individual (NPI-1)
Name
Dr. Jessica Mary Besen
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2014
Certification date
Sep 21, 2022
Last updated
Sep 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristODTA00558RIYes
152W00000X Optometrist5030MA
152W00000X Optometrist33532CA

Other names

  • Jessica Mary Beauregard (Former Name)

Practice location

615 Greenwich Ave Ste 10
Warwick, RI 02886-1882

Phone 401-244-5186 · Fax 401-396-2393

Mailing address

615 Greenwich Ave
Warwick, RI 02886-1897

Other practice locations

51 State Rd
Dartmouth, MA 02747-3319

Phone 508-994-1400 · Fax 508-910-2212

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Warwick, RI