DR. Jennifer Waller OD

  • NPI 1861440612
According to our database, the NPI number for DR. Jennifer Waller OD is 1861440612 and activated since 18 years ago. DR. Jennifer Waller OD is an individual provider who specializes in Optometrist, and the primary practice location is 2020 W Iles Ave, Springfield, IL 62704. You can also contact DR. Jennifer Waller OD via telephone number is (217) 698-3030. Provider NPI information was last updated on 08/29/2019.

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Overview of DR. Jennifer Waller OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/04/2006
  • Last updated: 08/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 046009087
  • License State: IL

Provider Mailing Address

  • Address: 2020 W Iles Ave
    Springfield, IL 62704
  • Phone: 217-698-3030
  • Fax: 217-698-3068

Provider Practice Location

  • Address: 2020 W Iles Ave
    Springfield, IL 62704
  • Phone: 217-698-3030
  • Fax: 217-698-3068

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 046009087
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 410038558
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: RAILROAD MEDICARE - GRD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jennifer Waller OD?
  • A: The npi number for DR. Jennifer Waller OD is 1861440612.
  • Q: What are DR. Jennifer Waller OD's specialties?
  • A: DR. Jennifer Waller OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Jennifer Waller OD?
  • A: The medical license number for DR. Jennifer Waller OD is 046009087 and issued in IL in USA.
  • Q: Where is DR. Jennifer Waller OD practice location?
  • A: DR. Jennifer Waller OD is practicing at 2020 W Iles Ave, Springfield, IL 62704.
  • Q: How to contact DR. Jennifer Waller OD?
  • A: You can contact DR. Jennifer Waller OD via 217-698-3030.