Jennifer Denhartog Od Llc | |
12695 University Ave Ste 170, Clive, IA 50325 | |
(515) 512-1444 | |
(515) 512-1440 |
Full Name | Jennifer Denhartog Od Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 12695 University Ave Ste 170, Clive, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649634478 | NPI | - | NPPES |
1229344 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jennifer L Denhartog |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285682245 PECOS PAC ID: 4183756299 Enrollment ID: I20100723000888 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Denhartog Od Llc 12695 University Ave Ste 170, Clive, IA 50325-8217 Ph: (515) 512-1444 | Jennifer Denhartog Od Llc 12695 University Ave Ste 170, Clive, IA 50325 Ph: (515) 512-1444 |
Jane A Snodgrass, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1250 Nw 128th St, Suite 150, Clive, IA 50325 Phone: 515-223-9595 Fax: 515-223-9792 | |
Dr. Jennifer Denhartog, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12695 University Ave Ste 170, Clive, IA 50325 Phone: 515-512-1444 Fax: 515-512-1440 | |
Kevin R Snodgrass, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1250 Nw 128th St, Suite 150, Clive, IA 50325 Phone: 515-223-9595 Fax: 515-223-9792 | |
Dr. Heidi Lynn Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12871 University Ave, Clive, IA 50325 Phone: 515-221-9195 | |
Insight Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12871 University Ave, Suite 140, Clive, IA 50325 Phone: 515-221-9195 Fax: 515-221-9196 | |
Kelly Joy Soults, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 Nw 128th St Ste 150, Clive, IA 50325 Phone: 515-223-9595 Fax: 515-223-9795 |