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

NPI Status: Active since August 30, 2021

Contact Information

16006 ASH WAY STE 101
LYNNWOOD, WA
ZIP 98087
Phone: (425) 787-5200

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Areas of Expertise
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Optometrist
Vision Therapy
Opted-Out Medicare

About AUSTIN JENSEN

This page provides the complete NPI Profile along with additional information for Austin Jensen, a provider established in Lynnwood, Washington with a medical specialization in Optometrist, focusing in vision therapy . The healthcare provider is registered in the NPI registry with number 1649947334 assigned on August 2021. The practitioner's primary taxonomy code is 152WV0400X with license number OD-61171154 (WA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1649947334
Provider Name: AUSTIN DALE JENSEN OD
Gender: Male
Entity Type: Individual
Location Address: 16006 ASH WAY STE 101 LYNNWOOD, WA 98087
Location Phone: (425) 787-5200
Mailing Address: 1795 NE 205TH ST APT 510 SHORELINE, WA 98155
Mailing Phone: (605) 203-1129
Is Sole Proprietor?: No
Enumeration Date: 08-30-2021
Last Update Date: 08-30-2021
Code Navigator

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Austin Jensen opted out of Medicare effective on 12-19-2024 until 12-19-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Optometrist Vision Therapy
Taxonomy Code: 152WV0400X
Type: Eye and Vision Services Providers
License No.: OD-61171154
License State: WA
Taxonomy Description: 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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-19-2024
Opt-Out End Date: 12-19-2026
Eligible to Order and Refer? No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649947334, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 14 → 1 + 4

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 8 + 4 + 1 + 4 + 3 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1649947334.