Organization
JENSEN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK ALLEN JENSEN OD (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
Enumeration date
07/15/2008
Last updated
07/21/2008
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