Jennifer Marie Groehler
Optometrist
10 Tower Dr
Sun Prairie
, Wisconsin 53590-1239
Jennifer Marie Groehler
Optometrist
10 Tower Dr
Sun Prairie
, Wisconsin 53590-1239
(608) 825-3517
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Jennifer Marie Groehler
- 10 Tower Dr
- Sun Prairie, WI
- Zip : 53590-1239
- Fax : (608) 825-3517
- Phone : (608) 825-3008
Second Address
- Jennifer Marie Groehler
- 10 Tower Dr
- Sun Prairie, WI
- Zip : 53590-1239
- Fax : (608) 825-3517
- Phone : (608) 825-3008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3178-35 | WI |
National Provider Identifier
| NPI | 1013237155 |
|---|---|
| Provider Name | Jennifer Marie Groehler |
| First Address | Sun Prairie, WI 53590-1239 |
| Second Address | Sun Prairie, WI 53590-1239 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2010 |
| Last Update Date | 17/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013237155 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.