DR. JENNIFER DENHARTOG (NPI# 1285682245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285682245 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER DENHARTOG |
| Credential | O.D. |
| Practice Address |
12695 University Ave Ste 170 Clive IA 50325-8217 |
| Mailing Address |
4702 148th St Urbandale IA 50323-2074 |
| Practice Telephone | 5155121444 |
| Practice Fax Number | 5155121440 |
| Mailing Telephone | 5152109900 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-10-03 |
| NPI Deactivation Date | 09/11/2018 |
| NPI Reactivation Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 02164 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0229344 | 05 | |
| IA | BC/BS INDIVIDUAL NUMBER | 24569 | 01 |
| IA | DMERC | 0893990001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306261003 | Jennifer Denhartog | Developmental Therapist | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2014-03-04 |
| Street Address |
12695 UNIVERSITY AVE STE 170 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649634478 | Jennifer Denhartog Od LLC | Optometrist | 12695 University Ave Ste 170, Clive, IA 50325 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| 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 |
|---|---|---|---|---|
| 1184608499 | Jane A Snodgrass | Optometrist | 1250 Nw 128th St, Suite 150, Clive, IA 50325-7432 | 2005-11-30 |
| 1649634478 | Jennifer Denhartog Od LLC | Optometrist | 12695 University Ave Ste 170, Clive, IA 50325 | 2016-04-07 |
| 1780938605 | Heidi Lynn Bell | Optometrist | 12871 University Ave, Clive, IA 50325-8255 | 2012-10-30 |
| 1851569164 | Insight Vision | Optometrist | 12871 University Ave, Suite 140, Clive, IA 50325 | 2008-02-20 |
| 1962693028 | Todd Randall Pietig | Optometrist | 12871 University Ave, Suite 140, Clive, IA 50325-8255 | 2007-08-05 |
| 1750361176 | Kevin R Snodgrass | Optometrist | 1250 Nw 128th St, Suite 150, Clive, IA 50325-7432 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523406 | Kari Hellstern Od, P.C. | Optometrist | 550 36th Ave Sw Ste K1, Altoona, IA 50009-2626 | 2020-09-21 |
| 1508489824 | Clear View Vision Center, LLC | Optometrist | 1001 Avenue H Ste 2, Fort Madison, IA 52627-4559 | 2020-05-20 |
| 1952923609 | Le Mars Eye Care, PC | Optometrist | 26 5th Ave Nw, Le Mars, IA 51031-3427 | 2020-05-15 |
| 1275161549 | Metro Eyecare Associates LLC | Optometrist | 111 Nw 9th St Ste 1, Ankeny, IA 50023-1754 | 2020-03-31 |
| 1699314815 | American Eyecare PC | Optometrist | 1802 E Washington St Ste 101, Mt Pleasant, IA 52641-3217 | 2020-01-06 |
| 1659910453 | Luke R Ploessl | Optometrist | 2140 Jfk Rd Ste F, Dubuque, IA 52002-3883 | 2019-12-27 |
| 1063059186 | Reedy Eye Specialists | Optometrist | 2217 Main St # 329, Emmetsburg, IA 50536-2446 | 2019-12-09 |
| 1447896782 | Hawkeye Exact, LLC | Optometrist | 1801 4th St, Sioux City, IA 51101-2118 | 2019-11-21 |
| 1770144941 | Eyecare Partners, P.C. | Optometrist | 440 S 68th St, West Des Moines, IA 50266-8431 | 2019-06-27 |
| 1407415599 | Jacob Michael Diedrich | Optometrist | 5001 Sergeant Rd Ste 45, Sioux City, IA 51106-4777 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.