JENNIFER LYNN WANDELL (NPI# 1265523278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265523278 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN WANDELL |
| Credential | O.D. |
| Practice Address |
167 Northshore Blvd. Slidell LA 70460 |
| Mailing Address |
1076 Clipper Dr Slidell LA 70458 |
| Practice Telephone | 9856906686 |
| Mailing Telephone | 5048135938 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1357-491T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1475831 | 05 |
| Street Address |
167 NORTHSHORE BLVD. |
| City | SLIDELL |
| State | LA |
| Zip Code | 70460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1336600758 | Alex Duc Pham | Student in an Organized Health Care Education/Training Program | 210 Tiara Dr., Slidell, LA 70460 | 2019-03-28 |
| 1992163851 | Teem Economic Research & Business Community Development, Inc. | Case Management | 36190 Hwy 433, Slidell, LA 70460 | 2016-02-08 |
| 1548607674 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 2170 Gause Boulevard, Suite 133, Slidell, LA 70460 | 2013-05-30 |
| 1164764478 | Carrie Dale Howard | Speech-Language Pathologist | 305 Royal Drive, Slidell, LA 70460 | 2013-03-25 |
| 1427326446 | M L D Institute of Louisiana, LLC | Clinic/Center | 1274 Saint Tammany Ave, Slidell, LA 70460 | 2011-12-05 |
| 1497039069 | Royalty Home Care Service | Home Health | 328 Queen Anne Dr, Slidell, LA 70460 | 2011-09-30 |
| 1154616134 | James Sibley Holmes | Obstetrics & Gynecology | 107 Mary Ellen Dr, Slidell, LA 70460 | 2011-06-17 |
| 1700175734 | Timothy James Moten | Pharmacist | 114 Gause, Slidell, LA 70460 | 2011-03-30 |
| 1205064599 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 2104 Highway 190 W, Slidell, LA 70460 | 2009-06-25 |
| Find all providers in zip 70460 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629626437 | Daniel & Max LLC | Optometrist | 1677 Gause Blvd # 2, Slidell, LA 70458-2209 | 2019-08-27 |
| 1538713672 | Jaime Wang | Optometrist | 1185 Robert Blvd, Slidell, LA 70458-2087 | 2019-07-26 |
| 1568915262 | Paulyna Quyen Nguyen | Optometrist | 660 Town Center Pkwy # D660, Slidell, LA 70458-8006 | 2016-07-28 |
| 1497946099 | Tu-uyen Duc Pham | Optometrist | 129 Northshore Blvd, Slidell, LA 70460-6821 | 2007-08-07 |
| 1174652820 | Jennifer Wandell | Optometrist | 1076 Clipper Drive, Slidell, LA 70458 | 2007-03-05 |
| 1225190440 | Jason Wonch | Optometrist | 150 Northshore Blvd, 2060, Slidell, LA 70460-6809 | 2006-12-14 |
| 1598729956 | Fred L Birmingham | Optometrist | 1173 Robert Blvd, Slidell, LA 70458-2013 | 2006-04-13 |
| 1477517803 | Keith L Sehon | Optometrist | 401 Pontchartrain Dr, Suite A, Slidell, LA 70458-4329 | 2006-04-13 |
| 1497263545 | Northshore Eye Clinic | Optometrist | 181 Northshore Blvd, Slidell, LA 70460-6821 | 2018-01-10 |
| 1497205249 | Birmingham Optical | Optometrist | 1173 Robert Blvd, Slidell, LA 70458-2082 | 2016-10-05 |
| Find all providers in SLIDELL | ||||
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| 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.