Jerry Donn Jenks, OD | |
79 Maple Dr, Platte City, MO 64079-9640 | |
(816) 858-3954 | |
(816) 858-3954 |
Full Name | Jerry Donn Jenks |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 79 Maple Dr, Platte City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649296278 | NPI | - | NPPES |
310208160 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T02268 (Missouri) | Primary |
Provider Name | Professional Eye Care Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588680193 PECOS PAC ID: 4183529696 Enrollment ID: O20040524000163 |
Mailing Address | Practice Location Address |
---|---|
Jerry Donn Jenks, OD 79 Maple Dr, Po Box 1008, Platte City, MO 64079-9640 Ph: (816) 858-3954 | Jerry Donn Jenks, OD 79 Maple Dr, Platte City, MO 64079-9640 Ph: (816) 858-3954 |
Dr. Alan Gordon Wegener, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2401 Kentucky Ave Ste A, Platte City, MO 64079 Phone: 816-431-2202 | |
Bennett Eyecare Midwest, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2441 Nw Prairie View Rd, Platte City, MO 64079 Phone: 816-858-2522 Fax: 816-858-2946 | |
Kristin Leigh Ham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2600 Ensign Hill Dr, Suite F, Platte City, MO 64079 Phone: 816-431-2202 Fax: 816-431-2205 | |
Dr. Matthew J Bednar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2441 Nw Prairie View Rd Ste A, Platte City, MO 64079 Phone: 816-858-2522 Fax: 816-858-2946 | |
Outreach Vision Optometrist Medicare: Medicare Enrolled Practice Location: 700 Branch St Ste 6, Platte City, MO 64079 Phone: 816-858-6080 | |
Insight Eyecare Specialties Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2600 Ensign Hill Dr, Suite F, Platte City, MO 64079 Phone: 816-431-2202 Fax: 816-431-2205 |