Individual provider Active NPI

Jennifer Hsiou-Wei Kao, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1205866944
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7828 T Issued in CA
Practice address
1630 Oakland Road
Suite a 115
San Jose, CA 95131
Phone
(408) 453-9988
Fax
(408) 453-1178
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7828 T CA Primary

Addresses

Primary practice location

1630 Oakland Road
Suite a 115
San Jose, CA 95131

Mailing address

1630 Oakland Road
Suite a 115
San Jose, CA 95131
Phone (408) 453-9988

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
I20120328000217 CA Practitioner - Optometry 2062522782 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1630 Oakland Rd
Suite A115
San Jose, CA 95131-2461
Phone (408) 453-9988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7828CAMDAddiction (Substance Use Disorder) Counselor
7828 TCAMDOptometrist

Practitioners & affiliated clinicians

Practitioners 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1205866944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND ROAD",
            "address_2": "SUITE A 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95131",
            "telephone_number": "408-453-9988",
            "fax_number": "408-453-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKLAND ROAD",
            "address_2": "SUITE A 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95131",
            "telephone_number": "408-453-9988",
            "fax_number": "408-453-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "JENNIFER",
        "middle_name": "HSIOU-WEI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7828 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.