Individual
DR. KATHERINE BRAUSS JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2301 WILTON DR, C-1, WILTON MANORS, FL 33305-1202
(954) 764-6906
(954) 463-7933
Mailing address
2301 WILTON DR, C-1, WILTON MANORS, FL 33305-1202
(954) 764-6906
(954) 463-7933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC4114
FL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC4114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000J1
BCBSFL
FL
01
—
0227079
UNITEDHEALTHCARE
FL
05
—
621354500
—
FL
Enumeration date
08/25/2007
Last updated
12/29/2011
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