Individual
SCOTT A JENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7601 UNIVERSITY AVE, SUITE 102, MIDDLETON, WI 53562-5414
(608) 831-3366
(608) 831-8470
Mailing address
7601 UNIVERSITY AVE, SUITE 102, MIDDLETON, WI 53562-5414
(608) 831-3366
(608) 831-8470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2434
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38582800
—
WI
Enumeration date
10/31/2005
Last updated
06/13/2008
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