KILEY RENE JENSEN (NPI# 1538449095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538449095 |
| Entity Type | Individual |
| Full Name | KILEY RENE JENSEN |
| Practice Address |
4054 Commonwealth Ave Eau Claire WI 54701-9000 |
| Practice Telephone | 7158331220 |
| Practice Fax Number | 7158331297 |
| Mailing Telephone | 7158331220 |
| Mailing Fax Number | 7158331297 |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WI | Eye and Vision Services Providers |
| Street Address |
4054 COMMONWEALTH AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487710539 | I C 20 20 Eau Claire Inc | Eyewear Supplier (Equipment, not the service) | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2006-12-30 |
| 1245635473 | Elizabeth Spooner | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2014-10-30 |
| 1790107324 | Melissa Perkovich | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2014-01-16 |
| 1619226529 | Sara Bailey | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2012-09-06 |
| 1790949055 | John N Delakis | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-16 |
| 1891958609 | Jessica Jean Hegg | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-02 |
| 1891958690 | Renee Mikel O'donnell | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-02 |
| 1073726576 | Paul S Delakis | Optometrist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427211515 | Lisa Marie Johnson | Technician/Technologist | 4054 Commonweath Ave, Eau Claire, WI 54701-9000 | 2008-07-08 |
| 1235588831 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Technician/Technologist | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2016-06-06 |
| 1245635473 | Elizabeth Spooner | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2014-10-30 |
| 1790107324 | Melissa Perkovich | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2014-01-16 |
| 1619226529 | Sara Bailey | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2012-09-06 |
| 1790949055 | John N Delakis | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-16 |
| 1891958609 | Jessica Jean Hegg | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-02 |
| 1891958690 | Renee Mikel O'donnell | Technician/Technologist | 4054 Commonwealth Ave, Eau Claire, WI 54701-9000 | 2008-07-02 |
| 1073694071 | Wal-mart Stores East, Lp | Technician/Technologist | 3915 Gateway Dr, Eau Claire, WI 54701-8165 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on KILEY RENE JENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.