Active NPI
Jennifer Zhao, OD
- Optometrist
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35397-TLG
- Practice address
- 5575 W Las Positas Blvd Ste 240
Pleasanton, CA 94588-5803 - Phone
- (925) 460-5000
- NPI assigned
- Apr 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT35397-TLG | CA | Primary |
Addresses
Primary practice location
5575 W Las Positas Blvd Ste 240
Pleasanton, CA 94588-5803
Mailing address
3743 Fairlands Dr
Pleasanton, CA 94588-3418
Other practice location 1
28 Fenton St
Livermore, CA 94550-4144
Phone (925) 449-4000
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5575 W Las Positas Blvd
Suite 240
Pleasanton, CA 94588-5803
Phone (925) 460-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35397 | CA | MD | Psychologist |
| OPT35397-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyevue Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Gagnon Vision Medical Group Inc | Optometrist | Current | Accepting new patients |
| Gagnon Vision Medical Group Inc | Optometrist | Current | Accepting new patients |
| El Camino Hospital | Past | Accepting new patients |
Locations
28 Fenton St
Livermore, CA 94550
Phone (925) 449-4000
61 Serra Way
Ste 128
Milpitas, CA 95035
Phone (408) 262-8998
5575 W Las Positas Blvd
Ste 240
Pleasanton, CA 94588
Phone (925) 460-5000
Interoperability endpoints
- jzhao@vecma.intellechartdirect.net
Organizations & group practices 5
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.
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- Optometrist
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- NPI 1982725511
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- Specialist
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- NPI 1992816383
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- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1245927748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 FAIRLANDS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD STE 240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885803",
"telephone_number": "925-460-5000"
}
],
"practiceLocations": [
{
"address_1": "28 Fenton St",
"address_purpose": "LOCATION",
"city": "Livermore",
"state": "CA",
"postal_code": "945504144",
"country_code": "US",
"telephone_number": "925-449-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHAO",
"first_name": "JENNIFER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35397-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.