DR. JOHN ALEXANDER JENNINGS (NPI# 1457798738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457798738 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALEXANDER JENNINGS |
| Credential | O.D. |
| Practice Address |
1111 Delafield St Ste 312 Waukesha WI 53188-3407 |
| Practice Telephone | 2625473352 |
| Practice Fax Number | 2625479142 |
| Mailing Telephone | 2625473352 |
| Mailing Fax Number | 2625479142 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3312 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICAID LEGACY NUMBER | 100031400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578651113 | John Jennings | Dentist | 486 Andrews Ave, Ozark, AL 36360-3806 | 2006-10-10 |
| 1487748109 | John M. Jennings | Dentist | 335 E Saint George Blvd, #201, St George, UT 84770-7102 | 2006-10-03 |
| 1336248756 | John Thomas Jennings IIi | Chiropractor | 5 Chester Plz, Chester, MD 21619-2418 | 2006-09-22 |
| 1902814742 | John William Jennings | Occupational Therapist | 2500 Old Farm Ln, Edmond, OK 73013-6715 | 2006-08-04 |
| 1780648097 | John Wade Jennings | Chiropractor | 4144 5th Ave N, St Petersburg, FL 33713 | 2006-04-13 |
| 1891776753 | John L Jennings Jr. | Dermatology | 2613 Hospital Rd, Goldsboro, NC 27534 | 2005-11-08 |
| 1518965201 | John Mark Jennings | Social Worker | 213 W Ohio St, Morgantown, KY 42261-8436 | 2005-07-07 |
| 1699113803 | John Francis Jennings | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2013-06-10 |
| 1356788160 | John David Jennings | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2013-06-03 |
| 1740437854 | John Mark Jennings | Pharmacist | 600 Court St, Fulton, MO 65251 | 2008-08-20 |
| Street Address |
1111 DELAFIELD ST STE 312 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942512538 | Jessica M Schrieber | Ophthalmology | 1111 Delafield St Ste 312, Waukesha, WI 53188-3407 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1942721204 | Robert Logan Meyer | Optometrist | 3228 Turnberry Oak Dr Ste 200, Waukesha, WI 53188-3971 | 2017-06-27 |
| 1770932519 | Anna Sadler | Optometrist | 203 E Sunset Dr, Waukesha, WI 53189-7603 | 2016-06-11 |
| 1013165729 | Eye Clinic of Waukesha LLC | Optometrist | 2426 N Grandview Blvd, Suite D, Waukesha, WI 53188-6905 | 2008-09-05 |
| 1013164292 | Yanna T Kisala | Optometrist | 203a E Sunset Dr, Waukesha, WI 53189-7603 | 2008-08-19 |
| 1649323411 | James J. Hulen | Optometrist | 515 N Grand Ave, Waukesha, WI 53186 | 2007-01-18 |
| 1609944859 | Nehs Family Vision Center, Inc. | Optometrist | 100 Arcadian Ave, Waukesha, WI 53186-5002 | 2006-12-04 |
| 1134209679 | Kristie K. Yeager | Optometrist | 825 W. Moreland Boulevard, Waukesha, WI 53188 | 2006-10-17 |
| 1235239880 | Mark Thomas Scheel | Optometrist | W226s1500 State Road 164, Waukesha, WI 53186-1428 | 2006-09-24 |
| 1689686362 | John Arthur Mcinnis | Optometrist | 100 Arcadian Avenue, Waukesha, WI 53186 | 2006-08-12 |
| 1225044415 | Cynthia Kae Decker-riddle | Optometrist | 203 A East Sunset, Wisconsin Vision, Waukesha, WI 53189 | 2006-07-31 |
| Find all providers in WAUKESHA | ||||
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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.