DR. JEFFREY L. KOENEN, PC


Address: 801 Grand Ave Ste 350, Des Moines, IA 50309-8010
Phone: 5152447393

DR. JEFFREY L. KOENEN, PC (NPI# 1851545800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851545800
Entity Type Organization
Organization Name DR. JEFFREY L. KOENEN, PC
Other Organization Name 801 EYE CARE CENTER
Practice Address 801 Grand Ave Ste 350
Des Moines
IA 50309-8010
Practice Telephone 5152447393
Practice Fax Number 5152442343
Mailing Telephone 5152447393
Mailing Fax Number 5152442343
Enumeration Date 2008-11-04
Last Update Date 2008-11-04
Authorized Official Name DR. JEFFREY L. KOENEN (OPTOMETRIST/OWNER)
Authorized Official Telephone 5152447393
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center IA2072 IA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
801 Eye Care Center Doing Business As Name - Organization

Office Location

Street Address 801 GRAND AVE STE 350
City DES MOINES
State IA
Zip Code 50309-8010

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1003315011 Hyvacs, LLC Durable Medical Equipment & Medical Supplies 215 10th St Ste 110, Des Moines, IA 50309 2018-02-05
1770005746 Jacob Michael Boyle Chiropractor 500 Sw 7th St Ste 205, Des Moines, IA 50309 2017-07-12
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1457807000 Patricia Bularzik Social Worker 808 5th Avenue, Des Moines, IA 50309 2016-09-01
1396128492 Sarah Lynn Cavan Social Worker 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 2015-07-07
1104204056 Andrea Lynn Jones Social Worker 600 E Court Ste 200, Des Moines, IA 50309 2015-05-12
1811388937 Matthew Zirretta Physical Therapist 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 2015-02-11
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598374712 Michael Richard Anderson Clinic/Center 2560 Hubbell Ave, Des Moines, IA 50317-6102 2020-07-23
1043502743 Mercy Clinics, Inc Clinic/Center 330 Laurel St Ste 1200, Des Moines, IA 50314-3044 2011-05-12
1699067397 Mercy Clinics, Inc Clinic/Center 411 Laurel St Ste 2225, Des Moines, IA 50314-3002 2011-05-12
1699962159 Mercy Clinics Nurse Practitioners Clinic/Center 1111 6th Ave., 2nd Floor, Des Moines, IA 50314-2610 2007-09-28
1255385852 Millennium Rehab & Consulting, Inc. Clinic/Center 4725 Merle Hay Rd, Suite 101, Des Moines, IA 50322-1983 2006-05-19
1104484799 Mercy Clinics, Inc. Clinic/Center 1350 Des Moines St Ste 100, Des Moines, IA 50309-5507 2019-05-30
1982999025 Hanisch Family Chiropractic PC Clinic/Center 4539 Douglas Ave, Suite A, Des Moines, IA 50310-2711 2011-06-16
1205142692 Mercy Clinics Inc Clinic/Center 604 Locust St, Suite 210, Des Moines, IA 50309-3705 2010-08-24
1326294463 Jerome R. Greenberg, O.d., P.C. Clinic/Center 1242 E 14th St, Des Moines, IA 50316-2402 2008-08-08
1346406816 Mdcc, PC Clinic/Center 5525 Meredith Dr, Ste B, Des Moines, IA 50310-2334 2008-08-04
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Competitor

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City DES MOINES
Zip Code 50309

Improve Information

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Dataset Information

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.

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