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Contact Information

KATHERINE B JENSEN, OD
2301 WILTON DR
C-1
WILTON MANORS, FL33305-1202
 Phone: 954-764-6906
 Fax: 954-463-7933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KATHERINE B JENSEN · (Female)

NPI Number 1912190604
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/25/2007
Last updated 12/29/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC4114
  • FL Medicaid 621354500
  • FL Other 000J1 BCBSFL
  • FL Other 0227079 UNITEDHEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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