Jamie Lynn Ertl is a Optometrist in De Pere, Wisconsin. Jamie Lynn Ertl practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jamie Lynn Ertl is 1952392003. The last update date is 2021-05-15.
Jamie Lynn Ertl's current location address is 723 Main Ave, De Pere, Wisconsin. You can contact this provider via phone number 9203363390. The mailing address for Jamie Lynn Ertl is 723 Main Ave, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jamie Lynn Ertl |
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Address | 723 Main Ave, De Pere, Wisconsin |
Phone Number | 9203363390 |
Fax Number | |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1952392003 |
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Provider Enumeration Date | 2005-10-28 |
Last Updated Date | 2021-05-15 |
Provider Mailing Address Detail
Address | 723 Main Ave |
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City | De Pere |
State | Wisconsin (WI) |
Post Code | 541151371 |
Phone Number | 9203363390 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 3033035 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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38645400 | WI | -- |
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What is the unique identifier code issued to Jamie Lynn Ertl by the Centers for Medicare & Medicaid Services?
The Jamie Lynn Ertl has been assigned the NPI (National Provider Identifier) 1952392003. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jamie Lynn Ertl located?
The Jamie Lynn Ertl is located at 723 Main Ave, De Pere, WI 541151371.
What is Jamie Lynn Ertl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jamie Lynn Ertl's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Jamie Lynn Ertl receive the assignment of its 1952392003 from the Centers for Medicare & Medicaid Services?
The Jamie Lynn Ertl was issued its 1952392003 by the Centers for Medicare & Medicaid Services on 2005-10-28.
As of what date was the information pertaining to Jamie Lynn Ertl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jamie Lynn Ertl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-15.
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