Jennifer Waller is a Optometrist in Benld, Illinois. Jennifer Waller practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jennifer Waller is 1861440612. The last update date is 2023-02-03.
Jennifer Waller's current location address is 600 S 8th St, Benld, Illinois. You can contact this provider via phone number 2178357724 and fax number 2178357611. The mailing address for Jennifer Waller is 600 S 8th St, Benld, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Waller |
|---|---|
| Address | 600 S 8th St, Benld, Illinois |
| Phone Number | 2178357724 |
| Fax Number | 2178357611 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1861440612 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2023-02-03 |
Provider Mailing Address Detail
| Address | 600 S 8th St |
|---|---|
| City | Benld |
| State | Illinois (IL) |
| Post Code | 620091446 |
| Phone Number | 2178357724 |
| Fax Number | 2178357611 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46009087 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410038558 | IL | RAILROAD MEDICARE - GRD | |
| 46009087 | IL | -- | |
| 410038559 | IL | RAILROAD MEDICARE - SPFLD |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer Waller by the Centers for Medicare & Medicaid Services?
The Jennifer Waller has been issued the NPI (National Provider Identifier) 1861440612. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Waller located?
The Jennifer Waller is located at 600 S 8Th St, Benld, IL 620091446.
What is Jennifer Waller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Waller is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861440612 to Jennifer Waller?
The Centers for Medicare & Medicaid Services originally issued the 1861440612 to Jennifer Waller on 2006-05-04.
When was the information regarding Jennifer Waller most recently updated?
The details pertaining to the Jennifer Waller, including its address, specialty, and other relevant information, were last refreshed on 2023-02-03.