Organization
JENSEN EYECARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MON KEOMANIVONG (FINANCIAL MANAGER)
(319) 338-6700
Entity
Organization
Contact information
Practice address
640 HIGHWAY 1 W, SUITE 2, IOWA CITY, IA 52246-4218
(319) 338-6700
(319) 887-1101
Mailing address
640 HIGHWAY 1 W, SUITE 2, IOWA CITY, IA 52246-4218
(319) 338-6700
(319) 887-1101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1713
IA
Other
Enumeration date
07/05/2010
Last updated
06/01/2015
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