Individual
DR. JENNA HENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1310 1ST ST W, INDEPENDENCE, IA 50644-2316
(319) 334-6087
(319) 334-6488
Mailing address
1310 1ST ST W, P.O. BOX 737, INDEPENDENCE, IA 50644-2316
(319) 334-6087
(319) 334-6488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
073497
IA
152WC0802X
Corneal and Contact Management Optometrist
073497
IA
152WL0500X
Low Vision Rehabilitation Optometrist
073497
IA
152WP0200X
Pediatric Optometrist
073497
IA
152WV0400X
Vision Therapy Optometrist
073497
IA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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