Provider Demographics
NPI:1497061659
Name:LEMONS, JESSICA N (OD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:N
Last Name:LEMONS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 W MAIN ST STE 1E
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3927
Mailing Address - Country:US
Mailing Address - Phone:406-587-7050
Mailing Address - Fax:406-587-0525
Practice Address - Street 1:2825 W MAIN ST STE 1E
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3927
Practice Address - Country:US
Practice Address - Phone:406-587-7050
Practice Address - Fax:406-587-0525
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2236152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist