Individual provider Active NPI

Jasper Cheng, OD

  • Optometrist
  • Irvine, CA
National Provider Identifier
1457024721
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34886 Issued in CA
Practice address
8519 Irvine Center Dr
Irvine, CA 92618-4298
Phone
(949) 585-9403
NPI assigned
Jul 31, 2021
Last updated
Jul 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34886 CA Primary

Addresses

Primary practice location

8519 Irvine Center Dr
Irvine, CA 92618-4298

Mailing address

51 Golden Glen St
Irvine, CA 92604-2455

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
I20220921003079 CA Practitioner - Optometry 5092190496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Partners Optometric Group IncGroup PAC ID 5698188621, 4 clinicians
Alvin Arellano OD IncGroup PAC ID 9335182625, 5 clinicians

Practice addresses (Care Compare)

6200 E Canyon Rim Rd
Suite 101
Anaheim, CA 92807-4317
Phone (714) 998-2020

850 E Chapman Ave
Suite B
Orange, CA 92866-1649
Phone (714) 992-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34886CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alvin Arellano, O.D., Inc. CurrentSince Oct 30, 2023 Accepting new patients
Pacific Partners Optometric Group Inc Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Jimmy K. Lee, M.D. Inc. PastSince Oct 30, 2023 Accepting new patients

Locations

6200 E Canyon Rim Rd
#101
Anaheim, CA 92807
Phone (714) 992-8020

6200 E Canyon Rim Rd
Ste 101
Anaheim, CA 92807
Phone (714) 998-2020

6200 E Canyon Rim Rd
Ste C101
Anaheim, CA 92807

1909 W Malvern Ave
Fullerton, CA 92833
Phone (714) 992-8020

850 E Chapman Ave
Ste B
Orange, CA 92866
Phone (714) 538-1434

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, 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": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1457024721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GOLDEN GLEN ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8519 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184298",
            "telephone_number": "949-585-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JASPER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.