Individual
DR. JENNIFER A OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1540 VALLEY WEST DR, WEST DES MOINES, IA 50266-1101
(515) 223-8666
(515) 225-1411
Mailing address
3725 INGERSOLL AVE, DES MOINES, IA 50312-3410
(515) 279-2020
(515) 255-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02233
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274886
—
IA
01
—
31302
BLUE CROSS
IA
Enumeration date
02/13/2006
Last updated
09/16/2013
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