Provider Demographics
NPI:1447694278
Name:VASSAU, JESSIE MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:JESSIE
Middle Name:MARIE
Last Name:VASSAU
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7761 SHAFFER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3731
Mailing Address - Country:US
Mailing Address - Phone:303-979-4505
Mailing Address - Fax:303-933-0714
Practice Address - Street 1:7761 SHAFFER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3731
Practice Address - Country:US
Practice Address - Phone:303-979-4505
Practice Address - Fax:303-933-0714
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003061152W00000X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics