IndividualActive
Clark Jensen, O.D.
NPI 1336148576 · Optometrist · Grinnell, IA
Provider details
- NPI number
- 1336148576
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1620 (IA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
935 Broad St
Grinnell, IA 50112-2047
Phone: (641) 236-7502
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 687
Grinnell, IA 50112-0687
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2011-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.