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Organization

JENSEN EYE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARK A JENSEN O.D. (OPTOMETRIST)
(307) 265-7008
Entity
Organization

Contact information

Practice address
3101 WYOMING BLVD SW, CASPER, WY 82604-4543
(307) 265-7008
(307) 234-9405
Mailing address
3101 WYOMING BLVD SW, CASPER, WY 82604-4543
(307) 265-7008
(307) 234-9405

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
166T
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104223800
WY
Enumeration date
06/13/2013
Last updated
06/13/2013
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