Active NPI
Jenny Tsui, OPTOMETRIST
- Optometrist
- Rohnert Park, CA
National Provider Identifier
1285041103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15030
- Practice address
- 50 Professional Center Dr
Suite 210
Rohnert Park, CA 94928-2164 - Phone
- (707) 588-9179
- NPI assigned
- Jul 14, 2014
- 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 | 15030 | CA | Primary |
Addresses
Primary practice location
50 Professional Center Dr
Suite 210
Rohnert Park, CA 94928-2164
Mailing address
23 Carnoustie Dr
Novato, CA 94949-5849
Phone (210) 837-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15030 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1285041103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CARNOUSTIE DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495849",
"telephone_number": "210-837-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PROFESSIONAL CENTER DR",
"address_2": "SUITE 210",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282164",
"telephone_number": "707-588-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUI",
"first_name": "JENNY",
"name_prefix": "Dr.",
"credential": "OPTOMETRIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.