JEFFERY JENSEN (NPI# 1821153859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821153859 |
| Entity Type | Individual |
| Full Name | JEFFERY JENSEN |
| Credential | OD |
| Practice Address |
4000 N Oakland Ave Shorewood WI 53211-2355 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 4149617700 |
| Practice Fax Number | 4149617703 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2946-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38621800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063433712 | Jeffery R Jensen | Psychiatry & Neurology | 1111 N. Charles St., Baltimore, MD 21201-5403 | 2006-07-21 |
| 1962836791 | Jeffery Scott Jensen | Dentist | 40th and Holdrege, Unmc College of Dentistry, Lincoln, NE 68583-0740 | 2013-08-28 |
| 1336153469 | Jeffery E Jensen | Obstetrics & Gynecology | 1055 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2006-07-27 |
| Street Address |
4000 N OAKLAND AVE |
| City | SHOREWOOD |
| State | WI |
| Zip Code | 53211-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376624452 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2006-10-17 |
| 1326456377 | Anna Koeck | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2014-07-22 |
| 1285999516 | Elizabeth Roginski | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2012-07-12 |
| 1154699445 | Visionworks, Inc. | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2011-12-01 |
| 1760769202 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2011-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1568565349 | Brian Joseph Weaver | Optometrist | 4419 N Sheffield Ave, Shorewood, WI 53211-1307 | 2006-09-06 |
| 1104471572 | Juwaria Din | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211-2027 | 2019-08-02 |
| 1669984563 | Margarette Elaine J Alcesto | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211-2027 | 2017-10-31 |
| 1326456377 | Anna Koeck | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2014-07-22 |
| 1285999516 | Elizabeth Roginski | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2012-07-12 |
| 1154699445 | Visionworks, Inc. | Optometrist | 4000 N Oakland Ave, Shorewood, WI 53211-2355 | 2011-12-01 |
| 1508174947 | Kuhar Vision Care PC | Optometrist | 932 Brook Forest Ave, Shorewood, IL 60404-8807 | 2010-09-20 |
| 1699788158 | John A. Propati | Optometrist | 1401 Il Route 59, Shorewood, IL 60431-8209 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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| 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.