Dale, Jenna Marie
Dale, Jenna Marie is an individual health care provider with primary practice located at 322 S. Woodcrest Drive Precision Eye Group , Bloomington IN 47401. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Dale, Jenna Marie can be contacted via phone (812) 332-2020.Contact Information
Primary practice address
322 S. Woodcrest Drive Precision Eye Group
Bloomington IN 47401
Phone: (812) 332-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 18003771A | Indiana |
Eye and Vision Services Providers / Optometrist | 152W00000X | 3035 | Tennessee |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 18003771A | Indiana |
Eye and Vision Services Providers / Optometrist | 152W00000X | 18003771A | Indiana |
Profile Details
NPI number | 1285979377 |
---|---|
LBN Legal business name | Dale, Jenna Marie |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2012 |
Last updated | Feb 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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