ROGER C. JENKINS (NPI# 1982627212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982627212 |
| Entity Type | Individual |
| Full Name | ROGER C. JENKINS |
| Credential | OD |
| Practice Address |
12 S Division St Du Quoin IL 62832-1302 |
| Mailing Address |
Po Box 290 12 S Division Street Du Quoin IL 62832-0290 |
| Practice Telephone | 6185422157 |
| Practice Fax Number | 6185426388 |
| Mailing Telephone | 6185422157 |
| Mailing Fax Number | 6185426388 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 04600627 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | 0416560001 | 01 |
| IL | 046006277 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506461 | Roger Cain Jenkins Jr. | Family Medicine | 172 E Merritt St Ste C, Prescott, AZ 86301-2027 | 2006-02-09 |
| 1518947860 | Roger Jenkins | Transplant Surgery | 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2006-01-20 |
| Street Address |
12 S DIVISION ST |
| City | DU QUOIN |
| State | IL |
| Zip Code | 62832-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618859 | Jarrett Alexander Edwards | Pharmacist | 215 Grant Way Wal Mart Pharmacy, Du Quoin, IL 62832 | 2018-11-14 |
| 1932687944 | Gold Plate Program of Perry County | In Home Supportive Care | 721 N Hickory St, Du Quoin, IL 62832 | 2018-08-01 |
| 1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
| 1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
| 1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
| 1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
| 1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
| 1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
| 1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
| 1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
| Find all providers in zip 62832 | ||||
| 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 |
|---|---|---|---|---|
| 1255313912 | Carolyn Celeste Gibson | Optometrist | 630 S Washington St, Du Quoin, IL 62832-1906 | 2005-11-17 |
| 1508063843 | Emily Schwengel | Optometrist | 821 S Washington St, Du Quoin, IL 62832-1909 | 2007-06-29 |
| 1366582652 | Southern Illinois Eye Care, PC | Optometrist | 630 S Washington St, Du Quoin, IL 62832-1906 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 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.