| Cory James Jensen, OD | |
|
601 W Francis Ave, Spokane, WA 99205-6699 | |
| (509) 326-2772 | |
| Not Available |
| Full Name | Cory James Jensen |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 601 W Francis Ave, Spokane, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417516279 | NPI | - | NPPES |
| JENSECJ102N2 | Other | WA | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD60965247 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Provider Enterprise Llc | 0840458667 | 9 |
| Eye Consultants, P.s. | 8628143492 | 5 |
| Provider Name | Eye Consultants, P.s. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902071392 PECOS PAC ID: 8628143492 Enrollment ID: O20080814000135 |
| Provider Name | Professional Provider Enterprise Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770852196 PECOS PAC ID: 0840458667 Enrollment ID: O20120404000916 |
| Provider Name | Eye And Wellness, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174065783 PECOS PAC ID: 8729364286 Enrollment ID: O20170417002034 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory James Jensen, OD 52031 Eagle View Ln, Ford, WA 99013-9517 Ph: (509) 844-5605 | Cory James Jensen, OD 601 W Francis Ave, Spokane, WA 99205-6699 Ph: (509) 326-2772 |
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