Jeffrey R Henline is a Optometrist in Peoria, Illinois. Jeffrey R Henline practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeffrey R Henline is 1275526790. The last update date is 2010-06-18.
Jeffrey R Henline's current location address is 400 Ne Saint Mark Ct, Peoria, Illinois. You can contact this provider via phone number 3096741234 and fax number 3096746422. The mailing address for Jeffrey R Henline is 400 Ne Saint Mark Ct, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R Henline |
|---|---|
| Address | 400 Ne Saint Mark Ct, Peoria, Illinois |
| Phone Number | 3096741234 |
| Fax Number | 3096746422 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1275526790 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2010-06-18 |
Provider Mailing Address Detail
| Address | 400 Ne Saint Mark Ct |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033717 |
| Phone Number | 3096741234 |
| Fax Number | 3096746422 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46007713 |
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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 |
|---|---|---|---|
| 46007713 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey R Henline by the Centers for Medicare & Medicaid Services?
The Jeffrey R Henline has been assigned the NPI (National Provider Identifier) 1275526790. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey R Henline?
The Jeffrey R Henline is situated at 400 Ne Saint Mark Ct, in the city of Peoria, state of IL, with the zip code 616033717.
What is Jeffrey R Henline's area of expertise and its corresponding taxonomy classification?
The Jeffrey R Henline's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did Jeffrey R Henline receive its 1275526790 assignment?
The Jeffrey R Henline was assigned its 1275526790 on 2005-08-30, which is the date when this unique identifier was issued to the organization.
When was the information related to Jeffrey R Henline most recently updated or refreshed?
The details pertaining to the Jeffrey R Henline, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-18.