Dr John Alexander Jennings, OD | |
6815 118th Ave, Kenosha, WI 53142-8420 | |
(262) 857-5600 | |
Not Available |
Full Name | Dr John Alexander Jennings |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 6815 118th Ave, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457798738 | NPI | - | NPPES |
100031400 | Other | WI | MEDICAID LEGACY NUMBER |
100031400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3312 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Dr John Alexander Jennings, OD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Dr John Alexander Jennings, OD 6815 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5600 |
James R Kriege, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5300 52nd St, Kenosha, WI 53144 Phone: 262-658-8119 Fax: 262-658-8261 | |
Sterling At Pershing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7532 Pershing Blvd, Kenosha, WI 53142 Phone: 262-694-2400 Fax: 262-694-9456 | |
Dr. Laurie Ann Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6125 Green Bay Rd, Suite 800, Kenosha, WI 53142 Phone: 262-654-0726 Fax: 262-654-4365 | |
Myeyedr Optometry Of Wisconsin, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2305 30th Ave, Kenosha, WI 53144 Phone: 262-597-2020 Fax: 262-597-5452 | |
Dr. Steven Ticknor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3621 Market Ln, Kenosha, WI 53144 Phone: 262-658-8119 Fax: 262-658-8261 | |
Dr. James R Ferwerda, M.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7802 5th Ave, Kenosha, WI 53143 Phone: 262-658-2919 | |
Dr. Peter L Emer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3612 Roosevelt Rd, Kenosha, WI 53142 Phone: 262-652-1689 Fax: 262-652-4345 |