Individual provider Active NPI

Jenny Michelle Soo Hoo, O.D.

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1124401427
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15351 Issued in CA
Practice address
511 E Garvey Ave
Suite 201
Monterey Park, CA 91755-1974
Phone
(626) 382-2020
NPI assigned
Jul 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002635 AZ
Optometrist 152W00000X 030.0133970 VT
Optometrist 152W00000X OD61555235 WA
Optometrist 152W00000X 4901005864 MI
Optometrist 152W00000X OPT.0004092 CO
Optometrist 152W00000X 1207 NV
Optometrist 152W00000X 13880118-9934 UT
Optometrist 152W00000X OPT-2024-0007 NM
Optometrist 152W00000X OPT-OPT-LIC-5271 MT
Optometrist 152W00000X ODP-100665 ID
Optometrist 152W00000X 4748 OR
Optometrist 152W00000X 15351 CA Primary
Optometrist 152W00000X 371835 WI
Optometrist 152W00000X 0618002998 VA
Optometrist 152W00000X 3718-35 WI

Addresses

Primary practice location

511 E Garvey Ave
Suite 201
Monterey Park, CA 91755-1974

Mailing address

13089 Peyton Dr # C377
Chino Hills, CA 91709-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, VA, VT, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210203002562 CA Practitioner - Optometry 1850605767 Reassigns benefits to 2 organizations
I20211119001891 WI Practitioner - Optometry 1850605767 Reassigns benefits to 3 organizations
I20211221000672 VA Practitioner - Optometry 1850605767 Reassigns benefits to 1 organization
I20220803000305 VT Practitioner - Optometry 1850605767 Reassigns benefits to 1 organization
I20221102001016 AZ Practitioner - Optometry 1850605767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4748ORMDGeneral Practice Dentistry
OPT.0004092COMDOptometrist
ODP-100665IDMDOptometrist
4901005864MIMDOptometrist
OPT-OPT-LIC-5271MTMDOptometrist
OPT-2024-0007NMMDOptometrist
13880118-9934UTMDOptometrist
0618002998VAMDOptometrist
030.0133970VTMDOptometrist
OD61555235WAMDOptometrist
371835WIMDOptometrist
15351CAMDAcupuncturist
1207NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Oct 20, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Oct 20, 2022 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Jul 19, 2022 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Jenny Soo Hoo OD, Inc. Optometrist CurrentSince Jun 23, 2025 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Jul 19, 2022 Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Visionworks, Inc CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Eyecenter Optometrics, a Professional Corporation Optometrist Past Accepting new patients

Locations (25 of 28)

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

1825 E Guadalupe Rd
Ste F107
Tempe, AZ 85283
Phone (480) 730-1884

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

13089 Peyton Dr
#C377
Chino Hills, CA 91709
Phone (805) 369-1316

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

129 E Ferrell St
South Hill, VA 23970
Phone (434) 447-3220

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

10 Palmer Rd
Stowe, VT 05672
Phone (802) 253-6322

10 Palmer Rd
Ste 100
Stowe, VT 05672
Phone (802) 253-6322

5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

535 S Monroe Ave
Green Bay, WI 54301
Phone (920) 435-9511

2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1124401427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13089 PEYTON DR # C377",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E GARVEY AVE",
            "address_2": "SUITE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551974",
            "telephone_number": "626-382-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOO HOO",
        "first_name": "JENNY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-04",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002635",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133970",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61555235",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005864",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004092",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1207",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13880118-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT-2024-0007",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-5271",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100665",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4748",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15351",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "371835",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002998",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3718-35",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.