Provider Demographics
NPI:1215656855
Name:BRIGGS, JAMISON (OD)
Entity type:Individual
Prefix:
First Name:JAMISON
Middle Name:
Last Name:BRIGGS
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 1:166 WEST ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3362
Mailing Address - Country:US
Mailing Address - Phone:603-352-7803
Mailing Address - Fax:603-354-3165
Practice Address - Street 1:166 WEST ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3362
Practice Address - Country:US
Practice Address - Phone:603-352-7803
Practice Address - Fax:603-354-3165
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1201152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist