Clark Allen Jensen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

166T Issued in WY

Practice address

3101 Wyoming Blvd SW
Casper, WY 82604-4543

Phone

(307) 265-7008

Fax

(307) 234-9405

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jensen Eye Care, LLC

  • Optometrist
  • Casper, WY
  • NPI 1144668088
  Medicare reassignment NPD Authorized official
• Jensen Eye Care

  • Optometrist
  • Casper, WY
  • NPI 1831353101
  Authorized official Same address or phone

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1952384125",
    "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": {
        "last_name": "JENSEN",
        "first_name": "CLARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "166T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803620001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Jennings, DPT
• Jenny McKinney (Care Wyo)
• Jensen Eye Care
• Jensen Eye Care, LLC
• Ashlee Jensen, PAT
• Seth Allen Jensen, OD
• Sydnee Marin Jensen
• Tanya L Jernigan, PT, DPT
• Jessica L. Cassity D.D.S.
• Mario Jimenez

• Optometrist in Casper, WY
• Providers in Casper, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.