Jenterprises PS

Optometrist · Renton, WA

Organization Active NPI

NPI number 1902960347

Practice location

112 Pelly Ave N
Renton, WA 98057-5713
Phone
(425) 255-2020
Fax
(425) 255-2028

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NPI record

NPI
1902960347
Entity type
Organization (Type 2)
Enumeration date
December 20, 2006
Last updated
July 16, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1722 TX WA

Mailing address

PO Box 353
Renton, WA 98057-0353
Phone
(425) 255-2020
Fax
(425) 255-2028

Authorized official

Name
Dr. Paul Scott Jensen, O.D.
Title
President
Phone
(425) 255-2020

Other names

  • Renton Vision Source

About Jenterprises PS

Jenterprises PS is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 112 Pelly Ave N, Renton, WA 98057-5713. The NPI number 1902960347 was assigned on December 20, 2006 and the record was last updated on July 16, 2008.

Jenterprises PS lists a license in the registry: #1722 TX (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Paul Scott Jensen, O.D., President.

Frequently asked questions

What is the NPI number of Jenterprises PS?

The NPI number is 1902960347.

What is the phone number of Jenterprises PS?

The phone number listed for the practice location is (425) 255-2020.

Where is Jenterprises PS located?

112 Pelly Ave N, Renton, WA 98057-5713.

What is the taxonomy code for Jenterprises PS?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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