Max Jepson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002839 Issued in AZ

Practice address

21803 N Scottsdale Rd Ste 100
Scottsdale, AZ 85255-7444

Phone

(623) 323-2015

NPI assigned

Feb 11, 2011

Last updated

Mar 26, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 6, 2016 through Jun 6, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quinault Ave LLC

  • Ambulatory Surgical Clinic/Center
  • Tukwila, WA
  • NPI 1457946758
  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1740587633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557444",
            "telephone_number": "623-323-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSON",
        "first_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Richard Jensen, M.D.
• Julia Lynne Jensen, CRNA
• Rachel Jensen, MC, PSYD
• Emily Jenson, P.A.-C
• Kendall D Jenson, PA- C
• Kari Jerge, M.D.
• Jerity Enterprises, LLC (Macrotherapy)
• Jerome Riddle DDS PC
• Jerry R. Burger O.D., P.C.
• Jerry's Geri Care LLC

• Optometrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.