Individual provider Active NPI

Jennifer Aslam, OD

  • Optometrist
  • El Segundo, CA
National Provider Identifier
1215457437
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33752TLG Issued in CA
Practice address
302 W Grand Ave Ste 1
El Segundo, CA 90245-5108
Phone
(310) 414-9595
Fax
(310) 414-0137
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33752TLG CA Primary

Addresses

Primary practice location

302 W Grand Ave Ste 1
El Segundo, CA 90245-5108

Mailing address

302 W Grand Ave Ste 1
El Segundo, CA 90245-5108
Phone (310) 414-9595

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
I20170821000900 CA Practitioner - Optometry 6204108624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 W Grand Ave
Suite 1
El Segundo, CA 90245-5108
Phone (310) 414-9595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33752TLGCAMDOptometrist
33752CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aslam Optometry Group P.C. Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Eileen J. Bell Optometrist CurrentSince Sep 1, 2019 Accepting new patients

Locations

302 W Grand Ave
Ste 1
El Segundo, CA 90245
Phone (310) 414-9595

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1215457437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W GRAND AVE STE 1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455108",
            "telephone_number": "310-414-9595",
            "fax_number": "310-414-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GRAND AVE STE 1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455108",
            "telephone_number": "310-414-9595",
            "fax_number": "310-414-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLAM",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33752TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.