Cory James Jensen (NPI# 1417516279, PAC ID# 4789919440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417516279 |
| PAC ID by PECOS | 4789919440 |
| Professional Enrollment ID | I20190717002648 |
| Full Name | Cory James Jensen |
| Organization Legal Name | PROFESSIONAL PROVIDER ENTERPRISE LLC |
| Address |
135 S 336th St Federal Way WA 98003-6350 |
| Phone Number | 2538357433 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0840458667 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 135 S 336th St, Federal Way, WA 98003-6350 | 2538357433 | PROFESSIONAL PROVIDER ENTERPRISE LLC |
| 1690 Se Harvest Dr, Pullman, WA 99163-6000 | 5093342900 | EYE AND WELLNESS, LLC |
| 2301 W Wellesley Ave, Spokane, WA 99205-5004 | 5093270444 | EYE AND WELLNESS, LLC |
| 601 W Francis Ave, Northside Vision, Spokane, WA 99205-6427 | 5093262772 | NORTHSIDE VISION CENTER, P.S. |
| Organization Legal Name | PROFESSIONAL PROVIDER ENTERPRISE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Seymour | Optometry | Professional Provider Enterprise LLC | 1475 Se 100th Ave, Portland, OR 97216-2537 |
| Vitaliy Pelikhatyy | Optometry | Professional Provider Enterprise LLC | 11850 Sw Allen Blvd, Beaverton, OR 97005-4805 |
| Lyndon Graves | Optometry | Professional Provider Enterprise LLC | 2730 Crow Creek Rd, Bettendorf, IA 52722-2066 |
| Sarah Paige Henderson | Optometry | Professional Provider Enterprise LLC | 135 S 336th St, Federal Way, WA 98003-6350 |
| Street Address |
135 S 336TH ST |
| City | FEDERAL WAY |
| State | WA |
| Zip | 98003-6350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Paige Henderson | Optometry | Professional Provider Enterprise LLC | 135 S 336th St, Federal Way, WA 98003-6350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Miles | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Ashley Spreda | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Judith D Nielsen | Internal Medicine | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Scott Anthony Trapman | Family Medicine | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Alexandria Majcher | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Frank Joseph Rossi Jr. | Chiropractic | Redondo Family Chiropractic Inc Ps | 28815 Pacific Hwy S 6, Federal Way, WA 98003-3876 |
| Laura H Lee | Optometry | Drs Jackson and Lee Inc | 28815 Pacific Hwy S, Suite 2, Federal Way, WA 98003-3876 |
| Andrew Michael Winger | Chiropractic | 28815 Pacific Hwy S, Suite 6, Federal Way, WA 98003-3876 | |
| Duane L Jackson Jr. | Optometry | Drs Jackson and Lee Inc | 28815 Pacific Hwy S, Suite 2, Federal Way, WA 98003-3876 |
| Kara K Rasplica | Nurse Practitioner | Franciscan Medical Group | 30809 1st Ave S, Federal Way, WA 98003-4074 |
| Find all physicians in zip 98003 | |||
| City | FEDERAL WAY |
| Zip Code | 98003 |
| Specialty | OPTOMETRY |
| City + Specialty | FEDERAL WAY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.