Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacqueline Rita De Jesse, OD

Optometrist in Brookhaven, PA · enumerated 2005 · practices at Brookhaven Family Eye Care Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164419115

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Registry record

Entity type Individual (Type 1)

Name Jacqueline Rita De Jesse

Credential OD

Sex Female

Practice address 4106 Edgmont Ave, Brookhaven, PA, 19015

Phone (610) 872-8989

Fax (610) 872-5220

Enumeration date Oct 4, 2005

Last updated in NPPES Nov 25, 2008

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OEGOO1547 (PA) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
064195	Other	PA	HIGHMARK
442580095	Other	PA	RAILROAD MEDICARE
0005487270005	Medicaid	PA	-
5704053	Other	PA	AETNA NON-HMO
0055699	Other	PA	AETNA HMO
0062198000	Other	PA	INDEPENDENCE BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1164419115 active?

Yes, as of the latest NPPES snapshot, NPI 1164419115 is active (record last updated 2008-11-25).

How do I verify Jacqueline De Jesse's NPI record?

Cross-check NPI 1164419115 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Brookhaven Family Eye Care Center Optometrist · Brookhaven, PA NPI 1760490494

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-25.