Dr. Jenna Lelsey Sullivan is a Kaukauna, Wisconsin based female Optometrist with 6 years of experience in Optometry. She completed her graduation from Other in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jenna Lelsey Sullivan is 3564-35 for Optometry in Wisconsin. Dr. Jenna Lelsey Sullivan 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jenna Lelsey Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2018
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1 Bank Ave, Kaukauna, Wisconsin, 54130-2581
Phone:
920-766-2481
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527393412
Enrollment ID:
I20190715003001
NPI Number:
1366936932
NPI Enumeration Date:
18 Jun, 2018
NPI Last Update On:
02 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jenna Lelsey Sullivan are as mentioned below.
License Number
Specialization
State
Status
3564-35
Optometry
Wisconsin
Primary
OPC5544
Optometry
Florida
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jenna Lelsey Sullivan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Magiera Eyecare Llc (6406950690)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2331 Willow Drop Way, Oviedo, Florida
Zip:
32766-7083
Phone Number:
732-684-2761
Fax Number:
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Patients can reach Dr. Jenna Lelsey Sullivan at 1 Bank Ave, Kaukauna, Wisconsin or can call to book an appointment on 920-766-2481. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.