Individual provider Active NPI

Jennifer Lynn Fong, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1295703023
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12293T Issued in CA
Practice address
1689 Arden Way
#1091
Sacramento, CA 95815-4030
Phone
(916) 929-5909
Fax
(916) 929-8202
NPI assigned
Mar 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12293T CA Primary

Addresses

Primary practice location

1689 Arden Way
#1091
Sacramento, CA 95815-4030

Mailing address

1689 Arden Way
#1091
Sacramento, CA 95815-4030
Phone (916) 929-5909

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
I20040304001334 CA Practitioner - Optometry 2163310848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heidi Q T Pham-Murphy ODGroup PAC ID 2264563212, 5 clinicians
Thomas H Murphy OD IncGroup PAC ID 3173678042, 7 clinicians

Practice addresses (Care Compare)

525 Fulton Ave
Suite 300
Sacramento, CA 95825-4889
Phone (916) 925-5151

5500 Sunrise Blvd
Suite 400
Citrus Heights, CA 95610-7643
Phone (916) 726-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12293TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas H Murphy OD Inc Optometrist CurrentSince Aug 29, 2024 Accepting new patients
Thomas H Murphy, O.D., Inc. Optometrist Current Accepting new patients
Thomas H Murphy O D Inc Optometrist CurrentSince Aug 29, 2024 Accepting new patients
Heidi Q T Pham-Murphy OD Optometrist CurrentSince Aug 29, 2024 Accepting new patients
Thomas H Murphy OD Inc Optometrist Past Accepting new patients
Dr. Norman Takeda Optometrist Past Accepting new patients

Locations

5500 Sunrise Blvd
Ste 400
Citrus Heights, CA 95610
Phone (916) 726-2020

262 Gibson Dr
Ste 130
Roseville, CA 95678
Phone (916) 772-3937

1610 Arden Way
Ste 101
Sacramento, CA 95815
Phone (916) 929-1169

1689 Arden Way
Ste 1091
Sacramento, CA 95815
Phone (916) 929-5909

525 Fulton Ave
Ste 300
Sacramento, CA 95825
Phone (916) 925-2020

Organizations & group practices 6

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295703023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY",
            "address_2": "#1091",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154030",
            "telephone_number": "916-929-5909",
            "fax_number": "916-929-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 ARDEN WAY",
            "address_2": "#1091",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154030",
            "telephone_number": "916-929-5909",
            "fax_number": "916-929-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12293T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.