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NPI Code Detail

MEDICARE: JENNIFER L YAGER O.D.

MEDICARE:   JENNIFER L YAGER  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1174NE

General Provider Information

NPI Number : 1427042225
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L YAGER O.D.
Provider Business Mailing Address
First Line : 1012 N 27TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68503-1802
Country : US
Telephone Number : 402-476-3311
Fax Number : 402-476-0157
Provider Business Practice Location Address
First Line : 1012 N 27TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68503-1802
Country : US
Telephone Number : 402-476-3311
Fax Number : 402-476-0157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 08/16/2022

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Directions to “ JENNIFER L YAGER O.D.” Practice Location

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