Individual provider Active NPI

Jaymie Niida, OD

  • Optometrist
  • Torrance, CA
National Provider Identifier
1073035143
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33699TLG Issued in CA
Practice address
21540 Hawthorne Blvd
Torrance, CA 90503-5707
Phone
(310) 370-0016
Fax
(310) 370-1850
NPI assigned
Jul 11, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33699TLG CA Primary

Addresses

Primary practice location

21540 Hawthorne Blvd
Torrance, CA 90503-5707

Mailing address

4538 Highgrove Ave
Torrance, CA 90505-5516
Phone (310) 489-5956

Other practice location 1

2551 Pacific Coast Hwy
Torrance, CA 90505-7035
Phone (310) 326-2881

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
I20260625003738 CA Practitioner - Optometry 7719450204

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Vision Care Optometry IncGroup PAC ID 1951664234, 4 clinicians

Practice addresses (Care Compare)

3524 Torrance Blvd
Suite 100
Torrance, CA 90503-4821
Phone (310) 316-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33699TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Incredible Eye Care Optometry, Apc Optometrist PastSince Nov 30, 2010 Accepting new patients
Robert L. Shapiro OD Optometrist Past Accepting new patients
Scavo Optometric Group, Inc. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jaymie.niida.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073035143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 HIGHGROVE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055516",
            "telephone_number": "310-489-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21540 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035707",
            "telephone_number": "310-370-0016",
            "fax_number": "310-370-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905057035",
            "country_code": "US",
            "telephone_number": "310-326-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIIDA",
        "first_name": "JAYMIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33699TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.