Active NPI
Emmeline Jang, O.D
- Optometrist
- Bronx, NY
National Provider Identifier
1184030413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33897
- Practice address
- 103 W Kingsbridge Rd
Bronx, NY 10468-3902 - Phone
- (718) 358-5900
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33897 | CA | Primary |
| Optometrist | 152W00000X | TUV008182 | NY |
Addresses
Primary practice location
103 W Kingsbridge Rd
Bronx, NY 10468-3902
Mailing address
7197 Village Pkwy
Ste D
Dublin, CA 94568-2411
Phone (925) 828-9511
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008182 | NY | MD | Optometrist |
| 33897 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron Horse Optometric Group | Optometrist | Current | Accepting new patients |
| Marina Optometric Center Inc | Optometrist | Past | Accepting new patients |
| Salinas Optometric Center Inc | Optometrist | Past | Accepting new patients |
Locations
7197 Village Pkwy
Ste D
Dublin, CA 94568
Phone (925) 828-9511
Organizations & group practices 3
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.
-
- Optometrist
- Dublin, CA
- NPI 1265840672
-
- Optometrist
- Marina, CA
- NPI 1942460142
-
- Optometrist
- Salinas, CA
- NPI 1518820919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1184030413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7197 VILLAGE PKWY",
"address_2": "STE D",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682411",
"telephone_number": "925-828-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104683902",
"telephone_number": "718-358-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "EMMELINE",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33897",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.