Individual provider Active NPI

Henry Robert Jensen, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1619669009
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002699 Issued in AZ
Practice address
9015 E Pima Center Pkwy Ste 1
Scottsdale, AZ 85258-4615
Phone
(480) 278-7732
Fax
(480) 302-8703
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002699 AZ Primary

Addresses

Primary practice location

9015 E Pima Center Pkwy Ste 1
Scottsdale, AZ 85258-4615

Mailing address

9015 E Pima Center Pkwy Ste 1
Scottsdale, AZ 85258-4615
Phone (480) 278-7732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20231114002746 AZ Practitioner - Optometry 3678920527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt River Eye Care PLLCGroup PAC ID 2567616956, 2 clinicians

Practice addresses (Care Compare)

9015 E Pima Ctr Pkwy
Suite 1
Scottsdale, AZ 85258-4615
Phone (480) 278-7732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Pain Relief, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Salt River Eye Care, PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

8415 N Pima Rd
Ste 155
Scottsdale, AZ 85258
Phone (480) 278-7732

9015 E Pima Center Pkwy
Ste 1
Scottsdale, AZ 85258
Phone (480) 278-7732

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1619669009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 E PIMA CENTER PKWY STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584615",
            "telephone_number": "480-278-7732",
            "fax_number": "480-302-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 E PIMA CENTER PKWY STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584615",
            "telephone_number": "480-278-7732",
            "fax_number": "480-302-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "HENRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.