Individual
DR. JOHN ALEXANDER JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6815 118TH AVE, KENOSHA, WI 53142-8420
(262) 857-5600
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3312
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100031400
MEDICAID LEGACY NUMBER
WI
05
—
100031400
—
WI
Enumeration date
05/28/2013
Last updated
03/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us