David C Jennings PC
Organization Active NPI Optometrist · Morrison, IL
NPI 1639248115 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1639248115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 046-006739 (IL)
- Legal business name
- DAVID C JENNINGS PC
- Practice address
- 201 E Market St
Morrison, IL 61270-2854 - Phone
- (815) 718-0020
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David C Jennings, OD
- Title
- President
- Phone
- (815) 718-0020
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 046-006739 | IL | Yes |
Addresses
Primary practice location
201 E Market St
Morrison, IL 61270-2854
Mailing address
201 E Market St
Morrison, IL 61270-2854
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00057517 | Other | IL | RAILROAD MEDICARE |
| 060-002897 | Other | IL | CORPORATION LICENSE NUMBE |
| 9826676 | Other | IL | BLUE CROSS BLUE SHIELD |
| D 5228-360-4 | Other | IL | CORPORATION FILE NUMBER |
Other providers in Morrison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.