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JERRY DONN JENKS O.D. NPI 1649296278


NPI Information

NPI: 1649296278
Provider Name: JERRY DONN JENKS, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
79 MAPLE DR
PLATTE CITY, MO
ZIP 64079
Phone: (816) 858-3954
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Jerry Donn Jenks, O.D. is an optometrist in Platte City, MO with 49 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Jerry Donn Jenks, O.D. NPI is 1649296278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year:1975

The provider's business location address is:

79 MAPLE DR
PLATTE CITY, MO
ZIP 64079-640
Phone: (816) 858-3954
Fax: (816) 858-3954

The NPI 1649296278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristT02268MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001091033MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
20480010002MEDICARE NSCMISSOURI
3U05350MEDICARE UPINMISSOURI
4001091034MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
5410019249MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRR MCR
601091033MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
7000091240MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
8C401969BMEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
9000091233MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
10C401969MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
11310208160MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.