Jensen Optometrists, P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JENSEN OPTOMETRISTS, P.L.L.C.

Practice address

935 Broad St
Grinnell, IA 50112-2047

Phone

(641) 236-7502

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Clark Jensen, O.D.

Title

Owner

Phone

(641) 236-7502

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Foster Jahner, OD

  • Optometrist
  • Grinnell, IA
  • NPI 1285245274
  Medicare reassignment Care Compare group NPD
• Whitney Ann Jensen, OD

  • Optometrist
  • Grinnell, IA
  • NPI 1053673822
  Medicare reassignment Care Compare group NPD
• Scott A Jensen, O.D.

  • Optometrist
  • Grinnell, IA
  • NPI 1780683920
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1659436723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122047",
            "telephone_number": "641-236-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN OPTOMETRISTS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-236-7502",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142455",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc
• Iowa River Wellness PC
• Joseph Foster Jahner, OD
• Lisa R James, ARNP
• Jennifer M Rayburn, P.C.
• Clark J Jensen, O.D.
• Scott A Jensen, O.D.
• Whitney Ann Jensen, OD
• Jessica R Johnson, RD, LD
• Baylee Jones

• Optometrist in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.