Mercado, Jennifer

Mercado, Jennifer is an individual health care provider with primary practice located at 2174 Dixie Hwy , Fort Mitchell KY 41017-2902. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mercado, Jennifer can be contacted via phone (859) 341-2566.

Contact Information

Primary practice address
2174 Dixie Hwy Fort Mitchell KY 41017-2902
Phone: (859) 341-2566
Fax: (859) 341-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1653DT Kentucky

Profile Details

NPI number 1306955281
LBN Legal business name Mercado, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 9th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306955281 NPPES
Kentucky MEDICAID 77001659
Kentucky Other 61-1169814
Kentucky MEDICAID 7100172260
Kentucky Other 000000372897

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