Laurel Jensen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10638T Issued in CA

Practice address

3155-D Sedona Court
Suite 100
Ontario, CA 91764

Phone

(909) 605-1975

NPI assigned

Jan 12, 2007

Sex

Female

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

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

81.61 of 100Reported as group

Quality

81.78

Promoting interoperability

74

Improvement activities

40

Cost

78.59

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thomas S Tooma M D a Professional Corporation

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1922129865

  Optometrist

  Medicare reassignment NPD
• Thomas S Tooma M D a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1215583257
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801947486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28251 SHORE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924045",
            "telephone_number": "949-859-1387",
            "fax_number": "714-368-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155-D SEDONA COURT",
            "address_2": "SUITE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-605-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10638T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenkins Family Nursing Medical Practice, Inc
• Charlotte Ann Jenkins, FNP-BC
• Teana Jenkins
• Clarissa Danae Jennings
• Margaretha Handoko Jennings, MA CCC SLP
• Diana Carolina Jerez
• Michael Ambrose Jette
• JH Chun Dental Corporation
• Sun Tong Jiang, DC
• Candace Jimenez-Logan

• Optometrist in Ontario, CA
• Providers in Ontario, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.