Jensen, Mark J

Jensen, Mark J is an individual health care provider with primary practice located at 22530 Se 64Th Pl Ste 140, Issaquah WA 98027-5353. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jensen, Mark J can be contacted via phone (425) 392-2020.

Contact Information

Primary practice address
22530 Se 64Th Pl Ste 140 Issaquah WA 98027-5353
Fax: (425) 392-1657
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1820 Washington

Profile Details

NPI number 1760473920
LBN Legal business name Jensen, Mark J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated May 13th, 2009 - about 17 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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