Jenterprises PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

1722 TX Issued in WA

Legal business name

JENTERPRISES PS

Practice address

112 Pelly Ave N
Renton, WA 98057-5713

Phone

(425) 255-2020

Fax

(425) 255-2028

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Scott Jensen, O.D.NPI 1891792370

Title

President

Phone

(425) 255-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renton Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Paul Scott Jensen, O.D.

  • Optometrist
  • Renton, WA
  • NPI 1891792370
  Medicare reassignment Care Compare group NPD Authorized official
• Alison Elizabeth Jensen, OD

  • Optometrist
  • Renton, WA
  • NPI 1073135109
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1902960347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980570353",
            "telephone_number": "425-255-2020",
            "fax_number": "425-255-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575713",
            "telephone_number": "425-255-2020",
            "fax_number": "425-255-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENTERPRISES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-255-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1722 TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021467",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renton Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Elizabeth Jensen, OD
• Chuck Ronald Jensen, PHARMACIST
• Jennifer Jensen
• Matthew Olaf Jensen, D.C.
• Paul Scott Jensen, O.D.
• Patricia Jergens, ARNP
• Sara E Jerger, CCC-SLP
• Jet City Transportation Inc
• Christopher Jordan Jex, DC
• Shan Jiang, MD

• Optometrist in Renton, WA
• Providers in Renton, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.

Verify at the official NPI Registry.