Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edward Renea Jett, OPTICIAN

Individual provider Optician · NPI 1255847802

Mr. Edward Renea Jett, OPTICIAN is an Optician in Brockport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

6265 Brockport Spencerport Rd
Brockport, NY 14420
Phone: (585) 395-0456
Fax: (585) 395-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 007668-1 (NY)

Record details

NPI number1255847802
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedDecember 19, 2017
Last updated in NPPESDecember 19, 2017

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