Provider Demographics
NPI:1134849268
Name:RIMM, JESSICA B (OD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:B
Last Name:RIMM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:330 W 58TH ST STE 330W58TH
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1827
Mailing Address - Country:US
Mailing Address - Phone:212-204-0600
Mailing Address - Fax:212-600-5826
Practice Address - Street 1:330 W 58TH ST STE 600
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1817
Practice Address - Country:US
Practice Address - Phone:212-204-0600
Practice Address - Fax:212-600-5826
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV009649152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist