Individual
JENNIFER E GIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1686 VIKING HILLS RD, DECORAH, IA 52101-7486
(563) 382-2639
Mailing address
1830 STATE HIGHWAY 9, DECORAH, IA 52101-7301
(563) 382-2525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002455
IA
152W00000X
Optometrist
0618003208
VA
152W00000X
Optometrist
15007
CA
152W00000X
Optometrist
3102
MN
152W00000X
Optometrist
3121
WI
152W00000X
Optometrist
OPT-002685
AZ
152W00000X
Optometrist
TA2901
MD
152W00000X
Optometrist
TPOP126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL2567
EYEMED VISION NO.
—
Enumeration date
07/13/2007
Last updated
05/24/2024
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