Individual provider Active NPI

Venus Tsai, O.D.

  • Optometrist
  • Cupertino, CA
National Provider Identifier
1437532678
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15323 Issued in CA
Practice address
10123 North Wolfe Road
Cupertino, CA 95014
Phone
(408) 446-4004
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15323 CA Primary

Addresses

Primary practice location

10123 North Wolfe Road
Cupertino, CA 95014

Mailing address

936 S Brookhurst St
Anaheim, CA 92804-4305
Phone (714) 533-2525

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
I20190715000559 CA Practitioner - Optometry 3971885740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Optometry IncGroup PAC ID 6901181510, 6 clinicians

Practice addresses (Care Compare)

4505 Barranca Pkwy
Suite C
Irvine, CA 92604-4797
Phone (949) 857-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Optometry, Inc. Optometrist CurrentSince Aug 15, 2022 Accepting new patients
Dr. Alissa Wald and Associates Optometry, Inc. Optometrist CurrentSince Aug 17, 2022 Accepting new patients
Christopher P. Likens & Nancy L. Wilson PTR Optometrist Past Accepting new patients

Locations

1545 Adams Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 545-9162

4505 Barranca Pkwy
Ste C
Irvine, CA 92604
Phone (949) 857-0676

Organizations & group practices 3

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1437532678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 S BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044305",
            "telephone_number": "714-533-2525",
            "fax_number": "714-533-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 NORTH WOLFE ROAD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-446-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "VENUS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.