Gordon C Jensen Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6385 Issued in UT

Legal business name

GORDON C JENSEN INC

Practice address

264 E 6400 S
Murray, UT 84107-7305

Phone

(801) 266-2010

Fax

(801) 265-2001

NPI assigned

Feb 5, 2007

Last updated

May 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ben Cook

Title

Coo

Phone

(561) 965-9110

Specialties & licenses 1

Addresses

Tax ID family

Gordon C Jensen Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gordon C Jensen Inc

  • Optometrist
  • Bellevue, WA
  • NPI 1639218142
  NPD tax ID

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1689713158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD",
            "address_2": "STE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096503",
            "telephone_number": "561-965-9110",
            "fax_number": "706-243-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 E 6400 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077305",
            "telephone_number": "801-266-2010",
            "fax_number": "801-265-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON C JENSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-965-9110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gonzalez, CSUDC
• Jared Alex Gonzalez, PHARMD
• Greg R. Goodman, MD
• Lillian H. Goodman, MD
• Samantha Goodrich, MASTERS OF SCIENCE
• Benjamin Hollis James Gordon, M.D.
• Landon Gordon
• Michael Charles Gordon, MD
• Troy Michael Gorman, MD
• Jodie Gorney, LMT

• Optometrist in Murray, UT
• Providers in Murray, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.