Organization
JORGENSEN OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY ALLEN JORGENSEN (OPTICIAN HEARING AID DISPENSER)
(563) 386-8170
Entity
Organization
Contact information
Practice address
3538 JERSEY RIDGE RD, DAVENPORT, IA 52807
(563) 386-8170
(563) 386-2216
Mailing address
3538 JERSEY RIDGE RD, DAVENPORT, IA 52807
(563) 386-8170
(563) 386-2216
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
332S00000X
Hearing Aid Equipment
183
IA
Other
Enumeration date
12/11/2006
Last updated
12/28/2007
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