Individual provider Active NPI

Seth Allen Jensen, OD

  • Optometrist
  • Casper, WY
National Provider Identifier
1598090672
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
342T Issued in WY
Practice address
3101 Wyoming Blvd SW
Casper, WY 82604-4543
Phone
(307) 265-7008
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 342T WY Primary

Addresses

Primary practice location

3101 Wyoming Blvd SW
Casper, WY 82604-4543

Mailing address

3101 Wyoming Blvd SW
Casper, WY 82604-4543
Phone (307) 265-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20131125000758 WY Practitioner - Optometry 1456587344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3101 SW Wyoming Blvd
Casper, WY 83604-4543
Phone (307) 265-7008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
342TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jensen Eye Care, LLC Optometrist CurrentSince Jul 31, 2013 Accepting new patients
Jensen Eye Care Optometrist PastSince Jul 31, 2013 Accepting new patients

Locations

3101 Wyoming Blvd SW
Casper, WY 82604
Phone (307) 265-7008

Interoperability endpoints

  • Direct secure messaging: drjensen@jenseneyecare.direct.eyemdemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1598090672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 WYOMING BLVD SW",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044543",
            "telephone_number": "307-265-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 WYOMING BLVD SW",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044543",
            "telephone_number": "307-265-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SETH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "342T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.