Individual provider Active NPI

Jessica My Hoang, OD

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1053007153
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009716 Issued in NY
Practice address
5820 Stoneridge Mall Rd Ste 114
Pleasanton, CA 94588-3275
Phone
(925) 421-0393
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009716 NY Primary

Addresses

Primary practice location

5820 Stoneridge Mall Rd Ste 114
Pleasanton, CA 94588-3275

Mailing address

5820 Stoneridge Mall Rd Ste 114
Pleasanton, CA 94588-3275
Phone (925) 784-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507002768 CA Practitioner - Optometry 0749621860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Eileen M Linder Optometrist IncGroup PAC ID 6103980982, 2 clinicians

Practice addresses (Care Compare)

4051 Lone Tree Way
Suite E
Antioch, CA 94531-6204
Phone (925) 757-7676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
20/20 Eye Wellness Optometry, Inc. Optometrist CurrentSince Apr 16, 2023 Accepting new patients
Eileen M Linder Optometrist Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

4051 Lone Tree Way
Ste E
Antioch, CA 94531
Phone (925) 757-7676

5820 Stoneridge Mall Rd
Ste 114
Pleasanton, CA 94588
Phone (925) 421-0393

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1053007153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 114",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883275",
            "telephone_number": "925-784-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 114",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883275",
            "telephone_number": "925-421-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JESSICA",
        "middle_name": "MY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.