Provider Demographics
NPI:1578856290
Name:JENNIFER LININGER, O.D. LLC
Entity Type:Organization
Organization Name:JENNIFER LININGER, O.D. LLC
Other - Org Name:LININGER EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LININGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-687-2772
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-0094
Mailing Address - Country:US
Mailing Address - Phone:913-687-2771
Mailing Address - Fax:913-438-6631
Practice Address - Street 1:12200 W 95TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3806
Practice Address - Country:US
Practice Address - Phone:913-687-2772
Practice Address - Fax:913-438-6631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1873261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center