Doctor Name: | JEANNE RICE |
NPI Number: | 1205090321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | 2829 |
Business Practice Address: | 927 Trettel Lane Fond Du Lac Human Services Division Cloquet, MN - 55720 |
Business Phone Number: | 2188791227 |
Business Fax Number: | 2188783755 |
Mailing Address: | 927 Trettel Lane, Fond Du Lac Human Services Division CLOQUET |
State: | MN |
Postal Code: | 55720 |
Phone Number: | 2188791227 |
Fax Number: | 2188783755 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 12/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2829 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |