Organization Active NPI

Han and Elk Grove Optometric Inc

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1073451290
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HAN AND ELK GROVE OPTOMETRIC INC
Practice address
8829 Sheldon Rd Ste 150
Elk Grove, CA 95624-5045
Phone
(916) 549-6728
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Dr. Jing Han, ODNPI 1720018575
Title
Ceo
Phone
(916) 549-6728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8829 Sheldon Rd Ste 150
Elk Grove, CA 95624-5045

Mailing address

374 Seaton Dr
Folsom, CA 95630-7947
Phone (916) 549-6728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513000173 CA Part B Supplier - Clinic/Group Practice 5092284679 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1073451290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SEATON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307947",
            "telephone_number": "916-549-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8829 SHELDON RD STE 150",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245045",
            "telephone_number": "916-549-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN AND ELK GROVE OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-549-6728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.