Individual provider Active NPI

Jennifer Yuka Seino, O.D.

  • Optometrist
  • Hayward, CA
National Provider Identifier
1376681817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10782T Issued in CA
Practice address
299 Southland Mall
Hayward, CA 94545-2129
Phone
(510) 782-8911
Fax
(510) 782-5095
NPI assigned
Feb 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10782T CA Primary

Addresses

Primary practice location

299 Southland Mall
Hayward, CA 94545-2129

Mailing address

2225 Buchanan Rd
Suite B
Antioch, CA 94509-4209
Phone (925) 757-6707

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10782TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376681817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 BUCHANAN RD",
            "address_2": "SUITE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094209",
            "telephone_number": "925-757-6707",
            "fax_number": "925-757-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 SOUTHLAND MALL",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452129",
            "telephone_number": "510-782-8911",
            "fax_number": "510-782-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEINO",
        "first_name": "JENNIFER",
        "middle_name": "YUKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10782T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.