Individual provider Active NPI

Jason Ha, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1265142533
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35645 Issued in CA
Practice address
6320 Mack Rd
Sacramento, CA 95823-4646
Phone
(916) 421-3986
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35645 CA Primary

Addresses

Primary practice location

6320 Mack Rd
Sacramento, CA 95823-4646

Mailing address

6320 Mack Rd
Sacramento, CA 95823-4646
Phone (682) 556-0583

Other identifiers 1

IdentifierTypeStateIssuer
1153OtherNVSTATE LICENSE

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
I20240520001540 CA Practitioner - Optometry 5395184592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35645CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Huynh OD PC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Jason Ha Optometric Professional Corporation Optometrist CurrentSince Dec 22, 2024 Accepting new patients
Thomas Wing OD Optometrist PastSince Nov 24, 2025 Accepting new patients
Kubo & Kubo, O.D.S Optometrist PastSince Apr 1, 2024 Accepting new patients

Locations

6320 Mack Rd
Sacramento, CA 95823
Phone (682) 556-0583

2409 15th St
Sacramento, CA 95818
Phone (916) 335-9655

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1265142533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234646",
            "telephone_number": "682-556-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234646",
            "telephone_number": "916-421-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "JASON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1153",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.