NPI
Jesse Fenstermacher
NPI 1194339481
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- OD
- Type
- Individual
- Enumeration date
- 2020-09-03
- Last updated
- 2020-09-03
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Specialties
Licenses
- License MN
- 3701
Location
- Practice location
- 922 Us 10 E
- City
- Staples MN
- Postal code
- 56479-2371
- Phone
- (218) 894-1331
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Optometrists in Staples, MN. 5 with this primary taxonomy in the public file.
Other NPIs in Staples, MN. 180 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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