Brian Peter Jensen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

581 Issued in NV

Practice address

65 N Taylor St
Fallon, NV 89406

Phone

(775) 423-8024

Fax

(775) 423-8593

NPI assigned

Jul 16, 2007

Last updated

Jun 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.jensen@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carter Vision Care, PLLC

  • Optometrist
  • Meridian, ID
  • NPI 1073814737
  Medicare reassignment NPD
• Rexford Capital Partners, Inc

  dba Armstrong-Root Opticians

  • Optometrist
  • Ketchum, ID
  • NPI 1629368725
  Medicare reassignment NPD
• Brian Jensen Optometry, LLC

  • Optometrist
  • Twin Falls, ID
  • NPI 1811781180
  NPD Authorized official
• LWK, P.C.

  dba Eye Pros

  • Optometrist
  • Boise, ID
  • NPI 1851624019
  Medicare reassignment
• Southern Idaho Ophthalmology PLLC

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1093189581
  Medicare reassignment
• Robertson & Koenig, LTD

  • Optometrist
  • Yerington, NV
  • NPI 1215129069
  NPD (past)
• Robertson & Koenig,LTD

  dba Dayton Family Vision

  • Optometrist
  • Dayton, NV
  • NPI 1255226072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1396944773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N TAYLOR ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "89406",
            "telephone_number": "775-423-8024",
            "fax_number": "775-423-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N TAYLOR ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "89406",
            "telephone_number": "775-423-8024",
            "fax_number": "775-423-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRIAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512718",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Hyde
• Michele Jacobson, CADC-I
• Cary Jaques, D.D.S.
• Daniel J. Jardine, LCSW
• Marissa Jayne
• John Hung MD PLLC
• Debbie Johnson
• Ellen M Johnson, LMFT
• Victoria Johnson
• Melissa Schneider Jones, D.D.S.

• Optometrist in Fallon, NV
• Providers in Fallon, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.