Jennifer Pesek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5905 Issued in OH

Practice address

200 Public SQ Ste 219
Cleveland, OH 44114-2301

Phone

(216) 621-2815

Fax

(216) 621-1745

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Truong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1124258991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PUBLIC SQ STE 219",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142301",
            "telephone_number": "216-621-2815",
            "fax_number": "216-621-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PUBLIC SQ STE 219",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142301",
            "telephone_number": "216-621-2815",
            "fax_number": "216-621-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESEK",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRUONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanka Pervitic
• Gerhard Louis Perz, M.D.
• Holly B Perzy, MD, MMM
• Kylee Pesa, PA-C
• Nicholas Pesa, M.D.
• Martin Pesek
• Doreen T Peskin, CRNA
• Julian L Peskin, MD
• Katie Elizabeth Pestak, D.O.
• Regina Pestak, DO

• Optometrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.