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Dr. Jeanette Jezick Od., LLC

Optometrist in Gales Ferry, CT · enumerated 2009 · authorized official Peter Wilbanks, Manager.

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

National Provider Identifier

1144556192

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Registry record

Entity type Organization (Type 2)
Legal business name Dr. Jeanette Jezick Od., LLC
Other name <Unavail>
Practice address 1663 Route 12, Gales Ferry, CT, 06335
Phone (860) 464-1040
Fax (860) 464-1044
Enumeration date Oct 27, 2009
Last updated in NPPES Oct 27, 2009

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 002353 (CT) Primary

Authorized official

Name Peter Wilbanks
Title Manager
Phone (860) 464-1040

Other identifiers

Identifier Type State Issuer
410000975 Other CT MEDICARE ID TYPE UNSPECIFIED PTAN
004132429 Medicaid CT -

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

What is the NPI number for Dr. Jeanette Jezick Od., LLC?
The NPI for Dr. Jeanette Jezick Od., LLC is 1144556192, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dr. Jeanette Jezick Od., LLC?
NPPES lists Peter Wilbanks (Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-27.