G F Jensen

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1506 Issued in WI

Legal business name

G F JENSEN

Practice address

422 N Main St
Oshkosh, WI 54901-4924

Phone

(920) 235-8500

Fax

(920) 303-5547

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. G F Jensen, OD

Title

Optometrist/ Owner/LLC

Phone

(920) 235-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

G F Jensen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• G F Jensen

  • Eyewear Supplier
  • Oshkosh, WI
  • NPI 1598188930
  NPD tax ID

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1972941599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014924",
            "telephone_number": "920-235-8500",
            "fax_number": "920-303-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014924",
            "telephone_number": "920-235-8500",
            "fax_number": "920-303-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G F JENSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER/LLC",
        "authorized_official_telephone_number": "920-235-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WI",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38504000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Froseth, DPT
• Yazmin Fuentes Miranda, M.D.
• Hunter James Furley, PHARMD
• Leah Fynaardt
• G F Jensen
• Haley Marie Gaetzke
• Kristin Elizabeth Gage
• Jordyn L Gaie, NP
• Gaining Insight Counseling Services LLC
• Pawel Galazka, MD

• Eyewear Supplier in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.