Provider Demographics
NPI:1568832483
Name:DOOLEY, JENNIFER LEONARD (OD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEONARD
Last Name:DOOLEY
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 1:5770 WINCHESTER PL
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39307-8809
Mailing Address - Country:US
Mailing Address - Phone:601-480-9296
Mailing Address - Fax:
Practice Address - Street 1:2024 15TH ST STE 5D
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4130
Practice Address - Country:US
Practice Address - Phone:601-553-2100
Practice Address - Fax:601-553-2104
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS921152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist