| Jenelle Detten, | |
|
1000 Knotts Pointe Ln Ste 107, Suffolk, VA 23435-1135 | |
| (619) 633-5491 | |
| Not Available |
| Full Name | Jenelle Detten |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1000 Knotts Pointe Ln Ste 107, Suffolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831080555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WP0200X | Optometrist - Pediatrics | 0618003631 (Virginia) | Secondary |
| 152W00000X | Optometrist | 0618003631 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Detten, 4312 Alvah Martin Way, Chesapeake, VA 23324-1489 Ph: () - | Jenelle Detten, 1000 Knotts Pointe Ln Ste 107, Suffolk, VA 23435-1135 Ph: (619) 633-5491 |
Enochs Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3575 Bridge Rd, Suite 21, Suffolk, VA 23435 Phone: 757-638-2015 Fax: 757-638-2010 | |
Kimberly A Steele, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3575 Bridge Rd Ste 19, Suffolk, VA 23435 Phone: 757-638-2015 Fax: 757-638-2010 | |
Lois Hendrix, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Main St, Suffolk, VA 23434 Phone: 757-925-0495 Fax: 757-925-1004 | |
Dr. Aileen Maring Horner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Main St Ste 1, Suffolk, VA 23434 Phone: 757-942-0452 Fax: 757-942-0457 | |
Ishan Gandhi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Main St Ste 1, Suffolk, VA 23434 Phone: 757-942-0452 | |
Samantha T Stahr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2016 Meade Pkwy, Suffolk, VA 23434 Phone: 757-539-1533 Fax: 757-543-9659 | |
Hendrix Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Main St, Optometrist, Suffolk, VA 23434 Phone: 757-925-0495 |