Provider Demographics
NPI:1952961112
Name:PIERCE, JESSICA O'KEEFE (OD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:O'KEEFE
Last Name:PIERCE
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 1:2615 E STATE ROAD 60
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-3800
Mailing Address - Country:US
Mailing Address - Phone:813-662-2200
Mailing Address - Fax:
Practice Address - Street 1:2615 E STATE ROAD 60
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-3800
Practice Address - Country:US
Practice Address - Phone:813-662-2200
Practice Address - Fax:813-662-2140
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5704152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist