Provider Demographics
NPI:1427735273
Name:JESSICA RENEE TRICHEL O D PLLC
Entity type:Organization
Organization Name:JESSICA RENEE TRICHEL O D PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:TRICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:903-741-7720
Mailing Address - Street 1:300 E NEW BOSTON RD STE E
Mailing Address - Street 2:
Mailing Address - City:NASH
Mailing Address - State:TX
Mailing Address - Zip Code:75569-2714
Mailing Address - Country:US
Mailing Address - Phone:903-741-7720
Mailing Address - Fax:903-741-7710
Practice Address - Street 1:300 E NEW BOSTON RD STE E
Practice Address - Street 2:
Practice Address - City:NASH
Practice Address - State:TX
Practice Address - Zip Code:75569-2714
Practice Address - Country:US
Practice Address - Phone:903-741-7720
Practice Address - Fax:903-741-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty