Individual provider Active NPI

Jennifer Wang Choi, O.D.

  • Optometrist
  • Redmond, WA
National Provider Identifier
1285766626
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WA 3932 Issued in WA
Practice address
17634 NE Union Hill Rd Unit 120
Redmond, WA 98052
Phone
(425) 885-1974
Fax
(425) 882-7818
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WA 3932 WA Primary

Addresses

Primary practice location

17634 NE Union Hill Rd Unit 120
Redmond, WA 98052

Mailing address

17634 NE Union Hill Rd Unit 120
Redmond, WA 98052-6096
Phone (425) 885-1974

Other names 1

  • Jennifer Wang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20121127000395 WA Practitioner - Optometry 1052561818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Vision Clinic, PLLCGroup PAC ID 0143470963, 2 clinicians

Practice addresses (Care Compare)

17634 NE Union Hill Rd
Unit 120
Redmond, WA 98052-6096
Phone (425) 885-1974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WA 3932WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Vision Clinic, PLLC Optometrist CurrentSince Oct 20, 2012 Accepting new patients

Locations

17634 NE Union Hill Rd
Unit 120
Redmond, WA 98052
Phone (425) 885-1974

Organizations & group practices 1

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1285766626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17634 NE UNION HILL RD UNIT 120",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526096",
            "telephone_number": "425-885-1974",
            "fax_number": "425-882-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17634 NE UNION HILL RD UNIT 120",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-885-1974",
            "fax_number": "425-882-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JENNIFER",
        "middle_name": "WANG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA 3932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WANG",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.