OrganizationActive
Jacqueline Z Fay OD PA
NPI 1376761072 · Optometrist · Venice, FL
Jacqueline Z Fay OD PA is a Optometrist organization in Venice, FL (NPI 1376761072).
Provider details
- NPI number
- 1376761072
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Fay, President(941) 497-4451
- License
- SL2513 (FL)
Practice location
1531 Tamiami Trl S
Suite 702a
Venice, FL 34285-5570
Phone: (941) 497-4451
Fax: (941) 408-8971
Street-level locationGet directions
Mailing address
1531 Tamiami Trl S
Venice, FL 34285-5570
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.