Pownell, Jill Anita

Pownell, Jill Anita is an individual health care provider with primary practice located at 22 19Th St Se , Watertown SD 57201-3938. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pownell, Jill Anita can be contacted via phone (605) 753-3937.

Contact Information

Primary practice address
22 19Th St Se Watertown SD 57201-3938
Phone: (605) 753-3937
Fax: (605) 753-0472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002458 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X T681 South Dakota

Profile Details

NPI number 1023246873
LBN Legal business name Pownell, Jill Anita
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Sep 26th, 2023 - about 2 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 1023246873 NPPES
Iowa MEDICAID 421499499
Iowa Other 4977608
Iowa Other S112121

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