Jay D Petersma in Johnston - Corneal And Contact Management
Jay D Petersma - NPI 1326148933
Jay D Petersma is a Corneal And Contact Management in Johnston, Iowa. Jay D Petersma practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Jay D Petersma is 1326148933. The last update date is 2010-01-11.
Jay D Petersma's current location address is 5501 Nw 86th St, Johnston, Iowa. You can contact this provider via phone number 5152700494 and fax number 5152706463. The mailing address for Jay D Petersma is 5501 Nw 86th St, Johnston, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay D Petersma |
|---|---|
| Address | 5501 Nw 86th St, Johnston, Iowa |
| Phone Number | 5152700494 |
| Fax Number | 5152706463 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1326148933 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2010-01-11 |
Provider Mailing Address Detail
| Address | 5501 Nw 86th St |
|---|---|
| City | Johnston |
| State | Iowa (IA) |
| Post Code | 501311816 |
| Phone Number | 5152700494 |
| Fax Number | 5152706463 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 1861 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18665 | IA | MIDLANDS CHOICE | |
| 26387 | IA | WELLMARK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jay D Petersma by the Centers for Medicare & Medicaid Services?
The Jay D Petersma has been issued the NPI (National Provider Identifier) 1326148933, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jay D Petersma is located?
The Jay D Petersma is situated at the following address: 5501 Nw 86Th St, Johnston, IA, 501311816.
What is Jay D Petersma's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay D Petersma's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
On what date was the 1326148933 assigned to Jay D Petersma?
The Jay D Petersma was issued its 1326148933 on 2006-09-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jay D Petersma, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jay D Petersma, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-11.