JACQUELINE RITA DE JESSE OD
NPI 1164419115
Optometrist in Brookhaven, PA

Q: What is Jacqueline De Jesse's NPI number?

The NPI number for Jacqueline De Jesse is 1164419115. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Jacqueline De Jesse's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 04, 2005

4106 EDGMONT AVE, BROOKHAVEN, PA 19015(610) 872-8989(610) 872-5220 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Rita De Jesse Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE RITA DE JESSE OD (NPI 1164419115) is an individual optometrist in Brookhaven, Pennsylvania, licensed in Pennsylvania (OEGOO1547) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1164419115

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJACQUELINE RITA DE JESSECredential: OD

Location Address4106 EDGMONT AVEBrookhaven, PA 19015-2314

Mailing Address4106 Edgmont AveBrookhaven, PA 19015-2314 · (610) 872-8989 · Fax (610) 872-5220

Phone(610) 872-8989

Fax(610) 872-5220

Sole ProprietorNo

Enumeration DateOctober 4, 2005

Last NPPES UpdateNovember 25, 2008

✔ NPI 1164419115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PA · OEGOO1547

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4106 EDGMONT AVE, Brookhaven, PA 19015

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Other Identifiers 9

Medicare NSC0264770001PA

Medicare PIN064195JA2PA

Other5704053PA · Aetna Non-hmo

Other064195PA · Highmark

Other442580095PA · Railroad Medicare

Medicare UPINT28072PA

Other0055699PA · Aetna Hmo

Medicaid0005487270005PA

Other0062198000PA · Independence Blue Cross

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKHAVEN FAMILY EYE CARE CENTER

Optometrist

4106 EDGMONT AVE
BROOKHAVEN, PA 19015

Delaware County (610) 872-8989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline De Jesse's NPI number?

The NPI number for Jacqueline De Jesse is 1164419115. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Jacqueline De Jesse located?

Jacqueline De Jesse practices at 4106 Edgmont Ave, Brookhaven, PA 19015. The listed phone number is (610) 872-8989.

What is Jacqueline De Jesse's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline De Jesse was last updated on November 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.