NPIMap

Organization Active NPI

Jensen Eye Care

  • Optometrist
  • Casper, WY
National Provider Identifier
1831353101
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
166T Issued in WY
Legal business name
JENSEN EYE CARE
Practice address
3101 Wyoming Blvd SW
Casper, WY 82604-4543
Phone
(307) 265-7008
Fax
(307) 234-9405
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Clark Allen Jensen, OD
Title
Optometrist
Phone
(307) 265-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 166T WY Primary

Addresses

Primary practice location

3101 Wyoming Blvd SW
Casper, WY 82604-4543

Mailing address

3101 Wyoming Blvd SW
Casper, WY 82604-4543
Phone (307) 265-7008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1831353101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 WYOMING BLVD SW",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044543",
            "telephone_number": "307-265-7008",
            "fax_number": "307-234-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 WYOMING BLVD SW",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044543",
            "telephone_number": "307-265-7008",
            "fax_number": "307-234-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "307-265-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "166T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.