Joan Jen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12829T Issued in CA

Practice address

130 S Sunnyvale Ave
Sunnyvale, CA 94086-6249

Phone

(408) 736-3802

Fax

(408) 736-6354

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Gary Gold & Associates Optometry

  • Optometrist
  • Sunnyvale, CA
  • NPI 1598936585
  NPD (past)
• Hacienda Park Optometry, Inc

  • Optometrist
  • Pleasanton, CA
  • NPI 1689932840
  NPD (past)
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Through the Hayes Optometry Inc

  • Optometrist
  • Sunnyvale, CA
  • NPI 1417848029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1013069616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S SUNNYVALE AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866249",
            "telephone_number": "408-736-3802",
            "fax_number": "408-736-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S SUNNYVALE AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866249",
            "telephone_number": "408-736-3802",
            "fax_number": "408-736-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEN",
        "first_name": "JOAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12829T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Kung Dental Corporation
• Pooya Jazayeri, MD
• JB Abel Health Center Inc
• Jeffrey a Holbert O D a Professional Corporation
• Angela An-CHI Jen, DPT
• Jennifer Chiang, DDS, Inc
• Samantha Beatrice Jennings, D.C.
• Younil Jeong, L.AC.
• Jeworski-Wang General Partnership
• Kevin Victor Jeworski, DDS

• Optometrist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.