Kimberly Dawn Jedlicka in Jordan - Optometrist
Kimberly Dawn Jedlicka - NPI 1790817203
Kimberly Dawn Jedlicka is a Optometrist in Jordan, Minnesota. Kimberly Dawn Jedlicka practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kimberly Dawn Jedlicka is 1790817203. The last update date is 2007-07-08.
Kimberly Dawn Jedlicka's current location address is 830 Dakota Pt, Jordan, Minnesota. You can contact this provider via phone number 9524923135. The mailing address for Kimberly Dawn Jedlicka is 830 Dakota Pt, Jordan, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly Dawn Jedlicka |
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Address | 830 Dakota Pt, Jordan, Minnesota |
Phone Number | 9524923135 |
Fax Number | |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1790817203 |
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Provider Enumeration Date | 2007-03-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 830 Dakota Pt |
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City | Jordan |
State | Minnesota (MN) |
Post Code | 553521441 |
Phone Number | 9524923135 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 2632 |
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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What is the unique 10-digit identification code assigned to Kimberly Dawn Jedlicka by the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Jedlicka has been issued the NPI (National Provider Identifier) 1790817203, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kimberly Dawn Jedlicka is geographically located?
The Kimberly Dawn Jedlicka is physically situated at the following location: 830 Dakota Pt, Jordan, MN, 553521441.
What is Kimberly Dawn Jedlicka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kimberly Dawn Jedlicka is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790817203 to Kimberly Dawn Jedlicka?
The Centers for Medicare & Medicaid Services originally issued the 1790817203 to Kimberly Dawn Jedlicka on 2007-03-10.
When was the information pertaining to Kimberly Dawn Jedlicka most recently updated or revised?
The details related to Kimberly Dawn Jedlicka, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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