Jeffrey S Heden (NPI# 1770580797, PAC ID# 4486737657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1770580797 |
PAC ID by PECOS | 4486737657 |
Professional Enrollment ID | I20080211000716 |
Full Name | Jeffrey S Heden |
Organization Legal Name | JAK ENTERPRISES INC |
Address |
4032 46th Ave Rock Island IL 61201-7164 |
Phone Number | 3097869734 |
Gender | M |
Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
Graduation Year | 2002 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 3173519014 |
Number of Group Practice Members | 23 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3323 Frontage Rd, Peru, IL 61354-1101 | 8152200652 | JAK ENTERPRISES INC |
4032 46th Ave, Rock Island, IL 61201-7164 | 3097869734 | JAK ENTERPRISES INC |
Organization Legal Name | JAK ENTERPRISES INC |
Physicians | 27 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sharna Annise Wiltz | Optometry | Jak Enterprises Inc | 3287 Court St, Pekin, IL 61554-6208 |
Molly M Guithues | Optometry | Jak Enterprises Inc | 331 W 1st Dr, Decatur, IL 62521-5207 |
Nicole M Jensen | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
Rhonda Dameron | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 |
Steven H Lane | Optometry | Jak Enterprises Inc | 1351 Hickory Point Dr, B, Forsyth, IL 62535-1085 |
Brian D Henson | Optometry | Jak Enterprises Inc | 1712 W Reynold Rd, Pontiac, IL 61764-9695 |
John J Rimkus | Optometry | Jak Enterprises Inc | 3215 E Lincolnway, Sterling, IL 61081-1772 |
Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
David R Morgret | Optometry | Jak Enterprises Inc | 1265 N Henderson St, Galesburg, IL 61401-1510 |
Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
Street Address |
4032 46TH AVE |
City | ROCK ISLAND |
State | IL |
Zip | 61201-7164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ann Perreau | Qualified Audiologist | Center for Speech Language and Hearing, 851 34th Street, Rock Island, IL 61201 | |
Michael K Sharp | Audiologist | Center for Speech Language and Hearing, 851 34th Street, Rock Island, IL 61201 | |
Timothy A Brien | Chiropractic | 4510 7th Ave, Rock Island, IL 61201-2260 | |
Ann M Mcnelis | Clinical Social Worker | Transitions Nfp | 805 19th St, Rock Island, IL 61201-2514 |
Frances B Ricketts | Clinical Psychologist | 2208 7th Ave, Rock Island, IL 61201-2604 | |
Eric E Lundgren | Chiropractic | Lundgren Chiropractic, Ltd | 2965 13th Ave, Rock Island, IL 61201-2814 |
James Thomas Stegmaier | Chiropractic | Lundgren Chiropractic, Ltd | 2965 13th Ave, Rock Island, IL 61201-2814 |
Rodney K Simmer | Chiropractic | 3012 18th Ave, Rock Island, IL 61201-2939 | |
Bruce E Jones Iii | Emergency Medicine | 3635 14th Ave, Rock Island, IL 61201-3069 | |
Jack Vukov | Ophthalmology | 2100 18th Ave, Suite 4, Rock Island, IL 61201-3611 | |
Find all physicians in zip 61201 |
City | ROCK ISLAND |
Zip Code | 61201 |
Specialty | OPTOMETRY |
City + Specialty | ROCK ISLAND + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.