Organization
G F JENSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G F JENSEN OD (OPTOMETRIST/ OWNER/LLC)
(920) 235-8500
Entity
Organization
Contact information
Practice address
422 N MAIN ST, OSHKOSH, WI 54901-4924
(920) 235-8500
(920) 303-5547
Mailing address
422 N MAIN ST, OSHKOSH, WI 54901-4924
(920) 235-8500
(920) 303-5547
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1506
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38504000
—
WI
Enumeration date
06/05/2013
Last updated
06/05/2013
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