Jeffrey Jino Jeong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT36084-TLG Issued in CA

Practice address

100 E California Blvd
Pasadena, CA 91105-3205

Phone

(626) 269-5348

Fax

(844) 897-3788

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.82 of 100Reported as group

Quality

81.48

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569

  Optometrist

  Medicare reassignment Care Compare group NPD
• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)
• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1518480615
  NPD (past)
• Clear Lake Eye Center LLP

  • Optometrist
  • Houston, TX
  • NPI 1255338612
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1184216848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-269-5348",
            "fax_number": "844-897-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-269-5348",
            "fax_number": "844-897-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21502 Merchants Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774492515",
            "country_code": "US",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3314 Louvre Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770826686",
            "country_code": "US",
            "telephone_number": "281-928-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEONG",
        "first_name": "JEFFREY",
        "middle_name": "JINO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10183TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10183T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36084-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Heetderks, Licensed Psychologist, Inc.
• Alyssa Jensen
• Lindsay Briana Jensen, AUD
• Sarah Nicole Jensen, MA, CCC-SLP
• Doori Jeong
• Sue Jeong
• Ashley Jeoung
• Irene Jernazian-Kanaian, M.D.
• Jerry L Lanier DDS Inc
• Marissa Ann Jesser

• Optometrist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.