DR. JENNIFER WALLER, OD
Optometrist
Active
Individual
NPI: 1861440612
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 046009087 (IL) |
Frequently Asked Questions
NPI 1861440612 is the National Provider Identifier for DR. JENNIFER WALLER, OD, a Optometrist provider located in Springfield, IL. This NPI was enumerated on May 4, 2006.
DR. JENNIFER WALLER, OD practices at 2020 W ILES AVE, Springfield, IL 62704.
Quick Facts
- NPI
- 1861440612
- Type
- Individual
- Enumerated
- May 4, 2006
- Last Updated
- Feb 3, 2023
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