Steven T Jensen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010525 Issued in IL

Practice address

801 W Lake Ave
Peoria, IL 61614-5951

Phone

(309) 686-0763

Fax

(309) 685-8809

NPI assigned

Nov 10, 2011

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

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bixby Eye Center IncGroup PAC ID 7012907892, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.9 of 100Reported as group

Quality

53.81

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Bixby Eye Center PC

  • Optometrist
  • Peoria, IL
  • NPI 1326192626
  Medicare reassignment Care Compare group NPD
• Dennis M Brtva

  • Optometrist
  • Peoria, IL
  • NPI 1336112804
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1942587589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 N SHERIDAN RD",
            "address_2": "STE A1-4",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616147171",
            "telephone_number": "309-557-8679",
            "fax_number": "309-827-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W LAKE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145951",
            "telephone_number": "309-686-0763",
            "fax_number": "309-685-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "STEVEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Chapin Jennetten, MD
• Mark Jennings, MD
• Ruth Ann Jennings, LCSW
• Jenny Evans Counseling, LLC
• Nicole M. Jensen, OD
• Josie Cathryn Jepson, PA
• Traci M Jeske, DEVL THERAPIST
• Jason Jesse
• Cyndi Jewell-Miller, OTR/L
• Laurence Jiang, M.D.

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.