AUSTIN DALE JENSEN OD
NPI 1649947334
Optometrist - Vision Therapy in Lynnwood, WA

Q: What is Austin Jensen's NPI number?

The NPI number for Austin Jensen is 1649947334. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Q: What is Austin Jensen's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Q: Is Austin Jensen enrolled in Medicare?

No. Austin Jensen has opted out of Medicare through December 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Austin Jensen was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2021Opted out of Medicare · through Dec 19, 2026

16006 ASH WAY STE 101, LYNNWOOD, WA 98087(425) 787-5200 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Austin Dale Jensen Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN DALE JENSEN OD (NPI 1649947334) is an individual vision therapy provider in Lynnwood, Washington, licensed in Washington (OD-61171154) and active in the NPI registry since August 2021. He has opted out of Medicare through December 19, 2026.

NPPES Registry Identity

NPI1649947334

Entity TypeIndividualMale

Primary Taxonomy152WV0400X

Provider Legal NameAUSTIN DALE JENSENCredential: OD

Location Address16006 ASH WAY STE 101Lynnwood, WA 98087-6352

Mailing Address1795 Ne 205th St Apt 510Shoreline, WA 98155-1017 · (605) 203-1129

Phone(425) 787-5200

Sole ProprietorNo

Enumeration DateAugust 30, 2021

NPPES CertifiedAugust 30, 2021

✔ NPI 1649947334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers

Taxonomy Code152WV0400X

License✔ Licensed in WA · OD-61171154

Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

16006 ASH WAY STE 101, Lynnwood, WA 98087

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Austin Dale Jensen Od has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 19, 2024 through December 19, 2026.

Opt-Out Effective DateDecember 19, 2024

Opt-Out In Effect ThroughDecember 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services40 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRISTIN MATTIONE O.D.

Optometrist (Vision Therapy)