Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER DENHARTOG, O.D.
Deactivated Sole ProprietorDR. JENNIFER DENHARTOG, O.D. is a Optometrist healthcare provider located in CLIVE, Iowa. NPI 1285682245 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · CLIVE, IA
This NPI has been deactivated.
The record was deactivated on September 11, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1285682245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2006 (12.356164383562 yrs)
- Last Updated
- Oct 3, 2018
- Deactivated
- Sep 11, 2018
- License
-
02164 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12695 UNIVERSITY AVE STE 170CLIVE, IA, 503258217Browse IA providers · Browse ZIP 50325
- Phone
- 5155121444
- Fax
- 5155121440
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CLIVE, IA
| Name | Credential | NPI |
|---|---|---|
| JANE A SNODGRASS | O.D. | 1184608499 |
| KELLY JOY SOULTS | O.D. | 1932189354 |
| KEVIN R SNODGRASS | O.D. | 1750361176 |
| DR. TODD RANDALL PIETIG | O.D. | 1962693028 |
| DR. HEIDI LYNN BELL | O.D. | 1780938605 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.