Provider Demographics
NPI:1275796955
Name:DUAN, JENNIFER QIAN (OD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:QIAN
Last Name:DUAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9170 ROUTE 108 STE 202
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1988
Mailing Address - Country:US
Mailing Address - Phone:410-442-6465
Mailing Address - Fax:410-442-6465
Practice Address - Street 1:9170 ROUTE 108 STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1988
Practice Address - Country:US
Practice Address - Phone:410-442-6465
Practice Address - Fax:410-442-6465
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002112152W00000X
PAOEG002059152W00000X
MDTA2538152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist