MARK H JEPPESEN (NPI# 1033101845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101845 |
| Entity Type | Individual |
| Full Name | MARK H JEPPESEN |
| Credential | OD |
| Practice Address |
2020 3rd Ave Nw Waverly IA 50677-2065 |
| Mailing Address |
2020 B 3rd Ave Nw Waverly IA 50677 |
| Practice Telephone | 3193523490 |
| Practice Fax Number | 3193520468 |
| Mailing Telephone | 3193523490 |
| Mailing Fax Number | 3193520468 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
02199 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1245969 | 05 |
| Street Address |
2020 3RD AVE NW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387988 | Peterson Eyecare PC | Optometrist | 2805 Blairs Ferry Rd Ne, Suite B, Cedar Rapids, IA 52411 | 2007-05-18 |
| 1114951746 | Chad D Peterson | Optometrist | Blairs Ferry Rd. Ne, Cedar Rapids, IA 52402 | 2006-07-10 |
| 1225094881 | Lisa Anne Nix | Optometrist | 126 S Cody Rd, Le Claire, IA 52753-9236 | 2006-04-24 |
| 1437124989 | Vera Marie Howe | Optometrist | 2740 1st Ave Ne, Cedar Rapids, IA 52402-4856 | 2006-02-20 |
| 1437137429 | Richard Loren Nelson | Optometrist | 1500 N Jefferson Way, Indianola, IA 50125-1465 | 2006-01-09 |
| 1548423866 | Dr Fitzgerald & Associates, Inc | Optometrist | 3225 Williams Pkwy Sw, Ste 1, Cedar Rapids, IA 52404-1476 | 2008-07-07 |
| 1760670665 | Tuttle Eye Care, Inc. | Optometrist | 2801 Grand Ave Ste 1025, Ames, IA 50010-4641 | 2007-10-05 |
| 1235260340 | Richard L. Nelson, O.d. P.l.c. | Optometrist | 1500 N Jefferson Way, Indianola, IA 50125-1465 | 2007-03-08 |
| 1881757326 | Optix Eye Design Inc | Optometrist | 2740 1st Ave Ne, Cedar Rapids, IA 52402-4856 | 2006-12-18 |
| 1477532174 | Wolfe Clinic Inc | Optometrist | 309 E Church St, Marshalltown, IA 50158-2946 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK H JEPPESEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.