Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jennifer Waller, OD

Optometrist in Springfield, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861440612

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Registry record

Entity type Individual (Type 1)

Name Dr. Jennifer Waller

Credential OD

Sex Female

Practice address 2020 W Iles Ave, Springfield, IL, 62704

Phone (217) 698-3030

Fax (217) 698-3068

Enumeration date May 4, 2006

Last updated in NPPES Feb 3, 2023

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 046009087 (IL) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
410038558	Other	IL	RAILROAD MEDICARE - GRD
046009087	Medicaid	IL	-
410038559	Other	IL	RAILROAD MEDICARE - SPFLD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jennifer Waller?

The National Provider Identifier (NPI) for Jennifer Waller is 1861440612, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jennifer Waller practice?

The practice location on file with NPPES is in Springfield, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-03.