Active NPI
Jensen Eye Associates PLLC
- Ophthalmology Physician
- Nampa, ID
National Provider Identifier
1871548669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JENSEN EYE ASSOCIATES PLLC
- Practice address
- 1615 12TH Ave Rd
Ste a
Nampa, ID 83686-7713 - Phone
- (208) 467-3271
- Fax
- (208) 467-4450
- NPI assigned
- May 23, 2006
- Last updated
- Aug 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter E Jensen, M.D.
- Title
- Owner
- Phone
- (208) 467-3271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
1615 12TH Ave Rd
Ste a
Nampa, ID 83686-7713
Mailing address
1615 12TH Ave Rd
Ste a
Nampa, ID 83686-6184
Phone (208) 467-3271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1603 12th Ave Rd
Nampa, ID 83686
Phone (208) 442-0096
1615 12th Ave Rd
Nampa, ID 83686
1615 12th Ave Rd
Ste A
Nampa, ID 83686
Phone (208) 467-3271
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Nampa, ID
- NPI 1770552846
-
- Optometrist
- Nampa, ID
- NPI 1659324960
-
- Optometrist
- Boise, ID
- NPI 1578643409
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Nampa, ID
- NPI 1922366251
Single Specialty
-
- Student in an Organized Health Care Education/Training Program
- Nampa, ID
- NPI 1548020886
-
- Ophthalmology Physician
- Nampa, ID
- NPI 1922076082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502150400000",
"number": "1871548669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 12TH AVE RD",
"address_2": "STE A",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866184",
"telephone_number": "208-467-3271",
"fax_number": "208-467-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 12TH AVE RD",
"address_2": "STE A",
"city": "NAMPA",
"state": "ID",
"postal_code": "836867713",
"telephone_number": "208-467-3271",
"fax_number": "208-467-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENSEN EYE ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2017-08-08",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-467-3271",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.