Active NPI
Soo Jin Noh, O.D.
- Optometrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 14698 TLG
- Practice address
- 400 O St
Ste 102
Sacramento, CA 95814-5327 - Phone
- (916) 443-3524
- NPI assigned
- Sep 19, 2013
- 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 | OPT 14698 TLG | CA | Primary |
Addresses
Primary practice location
400 O St
Ste 102
Sacramento, CA 95814-5327
Mailing address
400 O St
Ste 102
Sacramento, CA 95814-5327
Phone (916) 443-3524
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161107002253 | CA | Practitioner - Optometry | 2264734755 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 14698 TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Optometric Group, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Third Optometric Care of California PC | Optometrist | Current | Accepting new patients |
| Third Optometric Care of California PC | Optometrist | Current | Accepting new patients |
| Third Optometric Care of California | Optometrist | Current | Accepting new patients |
| Advanced Eyecare Professional Optometric Group | Optometrist | Current | Accepting new patients |
Locations
330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890
1055 Foothill Blvd
La Canada, CA 91011
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
400 O St
Ste 102
Sacramento, CA 95814
Phone (916) 443-3524
6702 Inglewood Ave
Ste H
Stockton, CA 95207
Phone (209) 951-3937
Organizations & group practices 5
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.
-
- Optometrist
- Sacramento, CA
- NPI 1356788731
CA, Optometrist
-
- Optometrist
- Glendale, CA
- NPI 1306035118
-
- Optometrist
- Palmdale, CA
- NPI 1215824768
-
- Optometrist
- Sacramento, CA
- NPI 1386222172
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Third Optometric Care of California
Practice addresses (Care Compare)
400 O St
Suite 102
Sacramento, CA 95814-5327
Phone (916) 443-3524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1326474602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 O ST",
"address_2": "STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145327",
"telephone_number": "916-443-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 O ST",
"address_2": "STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145327",
"telephone_number": "916-443-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOH",
"first_name": "SOO JIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 14698 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.