Provider Demographics
NPI:1194375824
Name:JENSEN EYE CARE, PLLC
Entity Type:Organization
Organization Name:JENSEN EYE CARE, PLLC
Other - Org Name:ISLAND FAMILY EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:361-529-7570
Mailing Address - Street 1:14650 COMPASS ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6237
Mailing Address - Country:US
Mailing Address - Phone:361-529-7570
Mailing Address - Fax:364-371-8473
Practice Address - Street 1:14650 COMPASS ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6618
Practice Address - Country:US
Practice Address - Phone:361-364-1919
Practice Address - Fax:361-371-8473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-15
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty