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NPI 1902960347ActiveOrganization· Optometrist· Renton, WA
Optometrist in Renton, Washington, registered in NPPES in December 2006. The authorized official on file is Paul Scott Jensen, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902960347 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Jul 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1722 TX | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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