JORGENSEN OPTICIANS INC (NPI# 1831259761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831259761 |
Entity Type | Organization |
Organization Name | JORGENSEN OPTICIANS INC |
Practice Address |
3538 Jersey Ridge Rd Davenport IA 52807 |
Practice Telephone | 5633868170 |
Practice Fax Number | 5633862216 |
Mailing Telephone | 5633868170 |
Mailing Fax Number | 5633862216 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2007-12-28 |
Authorized Official Name | MR. JERRY ALLEN JORGENSEN (OPTICIAN HEARING AID DISPENSER) |
Authorized Official Telephone | 5633868170 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
N | 332S00000X | Hearing Aid Equipment | 183 | IA | Suppliers |
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | JORGENSEN OPTICIANS INC. | 4206 Forest Road, Davenport, IA 52807 |
Street Address |
3538 JERSEY RIDGE RD |
City | DAVENPORT |
State | IA |
Zip Code | 52807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
Find all providers in zip 52807 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447404256 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5717 Elmore Ave Ste C, Davenport, IA 52807-3514 | 2008-11-06 |
1134200967 | Wal-mart Stores, Inc. | Technician/Technologist | 3101 W Kimberly Rd, Davenport, IA 52806-3400 | 2006-10-18 |
1780765453 | Sam's Club Optical | Technician/Technologist | 3887 Elmore Ave, Davenport, IA 52807-2504 | 2006-10-18 |
1306927405 | Wal-mart Stores, Inc. | Technician/Technologist | 5811 Elmore Ave, Davenport, IA 52807-3513 | 2006-10-17 |
1659478725 | Pearle Vision Inc | Technician/Technologist | 320 W Kimberly Rd, Davenport, IA 52806-5920 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508341843 | Robin Christine Singleton | Technician/Technologist | 103 2nd St Se, Altoona, IA 50009-1809 | 2018-10-02 |
1689087538 | Innovative Ear & Hearing | Technician/Technologist | 1620 Jfk Rd, Dubuque, IA 52002-5302 | 2014-06-09 |
1942645056 | John Robert Jansen | Technician/Technologist | 613 G Ave, Grundy Center, IA 50638 | 2013-05-02 |
1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
1992025399 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2515 Nw Arterial Ste 2, Dubuque, IA 52002-0400 | 2010-06-08 |
1720316243 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3701 Metro Dr Ste 400, Council Bluffs, IA 51501-7738 | 2009-11-20 |
1790013217 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3005 Wiley Blvd Sw Ste 114, Cedar Rapids, IA 52404-3178 | 2009-11-20 |
1720232531 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1805 Se Delaware Ave Ste 900, Ankeny, IA 50021-3935 | 2008-11-06 |
1316123763 | Us Vision Optical Inc | Technician/Technologist | 3333 Market Place Dr, Council Bluffs, IA 51501-8287 | 2008-01-16 |
1548483639 | Russ Uptown Optical Inc | Technician/Technologist | 4122 University Ave, Des Moines, IA 50311-3533 | 2007-04-10 |
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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.