Individual
DR. RANDALL L JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1170 N MOAPA VALLEY BLVD SUITE D, OVERTON, NV 89040-9999
(702) 397-2020
(702) 397-6422
Mailing address
PO BOX 1349, OVERTON, NV 89040-1349
(702) 397-2020
(702) 397-6422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
194
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25-02576
—
NV
Enumeration date
10/26/2005
Last updated
05/19/2008
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