IndividualActive
Jill Ceretto, COTA/L
NPI 1306308275 · Optometric Assistant Technician · Fairview Heights, IL
Provider details
- NPI number
- 1306308275
- Entity type
- Individual
- Primary specialty
- Optometric Assistant TechnicianEye and Vision Services Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 057001820 (IL)
Practice location
141 Market Pl Ste 203
Fairview Heights, IL 62208-2060
Phone: (618) 398-4118
Mailing address
141 Market Pl Ste 203
Fairview Heights, IL 62208-2060
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2019-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.