Dr. Jennifer Waller is a Springfield, Illinois based female Optometrist with 26 years of experience in Optometry. She completed her graduation from University Of Missouri St Louis - School Of Optometry in 1998. 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. Jennifer Waller is 046009087 for Optometry in Illinois. Dr. Jennifer Waller 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. Jennifer Waller 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:
26+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
1998
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2020 W Iles Ave, Springfield, Illinois, 62704-4174
Phone:
217-698-3030
Fax:
217-698-3068
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:
7618955154
Enrollment ID:
I20040710000271
NPI Number:
1861440612
NPI Enumeration Date:
04 May, 2006
NPI Last Update On:
03 Feb, 2023
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. Jennifer Waller are as mentioned below.
License Number
Specialization
State
Status
046009087
Optometry
Illinois
Primary
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. Jennifer Waller has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Prairie Eye Center, Ltd (6507779824)
18
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jennifer Waller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
410038558
Other
Illinois
RAILROAD MEDICARE - GRD
046009087
Medicaid
Illinois
410038559
Other
Illinois
RAILROAD MEDICARE - SPFLD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
600 S 8th St, Benld, Illinois
Zip:
62009-1446
Phone Number:
217-835-7724
Fax Number:
217-835-7611
Patients can reach Dr. Jennifer Waller at 2020 W Iles Ave, Springfield, Illinois or can call to book an appointment on 217-698-3030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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