Jensen, Austin Dale

Jensen, Austin Dale is an individual health care provider with primary practice located at 16006 Ash Way Ste 101 , Lynnwood WA 98087-6352. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Jensen, Austin Dale can be contacted via phone (425) 787-5200.

Contact Information

Primary practice address
16006 Ash Way Ste 101 Lynnwood WA 98087-6352
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X OD-61171154 Washington

Profile Details

NPI number 1649947334
LBN Legal business name Jensen, Austin Dale
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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