Joshi and Jen Optometrists, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12154TLG Issued in CA

Legal business name

JOSHI AND JEN OPTOMETRISTS, INC

Practice address

4825 Hopyard Rd
Suite F-1
Pleasanton, CA 94588-2772

Phone

(925) 227-0400

Fax

(925) 227-0730

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ketul Joshi, O.D.

Title

Owner/Partner, Optometrist

Phone

(415) 902-1867

Specialties & licenses 1

Addresses

Other names 1

• Hacienda Park Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1265898373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 HOPYARD RD",
            "address_2": "SUITE F-1",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882772",
            "telephone_number": "925-227-0400",
            "fax_number": "925-227-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 HOPYARD RD",
            "address_2": "SUITE F-1",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882772",
            "telephone_number": "925-227-0400",
            "fax_number": "925-227-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHI AND JEN OPTOMETRISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "KETUL",
        "authorized_official_title_or_position": "OWNER/PARTNER, OPTOMETRIST",
        "authorized_official_telephone_number": "415-902-1867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12154TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hacienda Park Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Jones, LMFT
• Natalie Deanae Jones
• Tara Jones
• Winter Jones, PPS
• Gerald Love Jordon
• Ashish D Joshi
• Ketul Joshi, OD
• Raphael Bernardo Joson, PT
• Roberto Joson, RPT
• Journey to New Beginnings

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.