IndividualActive
Olivia Jeckel
NPI 1831853548 · Technician/Technologist · Columbia, MO
Provider details
- NPI number
- 1831853548
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-171650 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
205 Portland St
Columbia, MO 65201-6521
Phone: (573) 884-6052
Approximate (ZIP-level) locationGet directions
Mailing address
205 Portland St
Columbia, MO 65201-6521
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.