JEAN A. DISSELER M.D. NPI 1245202779

NPI Information

  • NPI: 1245202779
  • Provider Name: JEAN A. DISSELER, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 1025 MAINE ST
    QUINCY, IL
    ZIP 62301
  • Phone: (217) 222-6550

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NPI Details

Jean A. Disseler, M.D. is an ophthalmology in Quincy, IL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Jean A. Disseler, M.D. NPI is 1245202779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1025 MAINE ST
QUINCY, IL
ZIP 62301-038
Phone: (217) 222-6550

The enumeration date for this NPI number is 2/7/2006 and was last updated on 2/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology036081863ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036081863MEDICAIDILLINOIS
2A16810MEDICARE UPIN
3935470MEDICARE PINILLINOIS
4180015662MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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