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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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