IndividualActive
Jessica Weis, OD
NPI 1205406766 · Corneal and Contact Management Optometrist · O Fallon, IL
Provider details
- NPI number
- 1205406766
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 046011537 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
735 Insight Ave
O Fallon, IL 62269-2193
Phone: (618) 628-2903
Approximate (ZIP-level) locationGet directions
Mailing address
18 N Taylor Ave Apt 2n
Saint Louis, MO 63108-2121
Registry dates
- Enumerated
- 2021-06-28
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.