Seth A Jensen (NPI# 1598090672, PAC ID# 1456587344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1598090672 |
PAC ID by PECOS | 1456587344 |
Professional Enrollment ID | I20131125000758 |
Full Name | Seth A Jensen |
Organization Legal Name | JENSEN EYE CARE LLC |
Address |
3101 Sw Wyoming Blvd Casper WY 83604-4543 |
Phone Number | 3072657008 |
Gender | M |
Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 2012 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 7214163369 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3101 Sw Wyoming Blvd, Casper, WY 83604-4543 | 3072657008 | JENSEN EYE CARE LLC |
Organization Legal Name | JENSEN EYE CARE LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Clark A Jensen | Optometry | Jensen Eye Care LLC | 3101 Sw Wyoming Blvd, Casper, WY 83604-4543 |
Street Address |
3101 SW WYOMING BLVD |
City | CASPER |
State | WY |
Zip | 83604-4543 |
Name | Specialty | Organization | Address |
---|---|---|---|
Clark A Jensen | Optometry | Jensen Eye Care LLC | 3101 Sw Wyoming Blvd, Casper, WY 83604-4543 |
City | CASPER |
Zip Code | 83604 |
Specialty | OPTOMETRY |
City + Specialty | CASPER + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.