Individual
DR. CRAIG JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-7962
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-7962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9552945-9934
UT
152W00000X
Optometrist
ODP-100487
ID
Other
Enumeration date
10/15/2015
Last updated
07/30/2024
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