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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL ALBERT JENISCH SR., O.D

Active Sole Proprietor

DR. DANIEL ALBERT JENISCH SR., O.D is a Optometrist healthcare provider located in FOREST GROVE, Oregon. NPI 1528122405 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FOREST GROVE, OR

Registration Details

NPI Number
1528122405
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2006 (19.6350401621 yrs)
Last Updated
Jul 8, 2007
License
2056 (WA)
Sole Proprietor
Yes

Practice Information

Address
2701 MAIN ST
APARTMENT # 91
FOREST GROVE, OR, 971161449
Browse OR providers · Browse ZIP 97116
Phone
5033576257
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in FOREST GROVE, OR

Name Credential NPI
DR. BRAD C RICHARDSON O.D. 1922009836
DR. KENNETH WARREN EAKLAND O.D. 1962492595
DR. LORNE YUDCOVITCH O.D. 1487645586
DR. CAROL Z RYMER O.D. 1407847445
DR. JOHN WILFRED RANDALL OD, MPH 1982695524
DR. DENISE GOODWIN OD 1730162694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.