Individual provider Active NPI

Jenny P Hung, O.D.

  • Optometrist
  • Rosemead, CA
National Provider Identifier
1457541559
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13252TLG Issued in CA
Practice address
1827 Walnut Grove Ave
Rosemead, CA 91770-3789
Phone
(626) 312-2712
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13252TLG CA Primary

Addresses

Primary practice location

1827 Walnut Grove Ave
Rosemead, CA 91770-3789

Mailing address

2827 Ginger CT
Fullerton, CA 92835-4326
Phone (714) 425-4005

Other practice location 1

1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827
Phone (626) 912-6888

Other practice location 2

3943 Grand Ave
Chino, CA 91710-5440
Phone (909) 590-0921

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
I20081104000623 CA Practitioner - Optometry 1850450958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13252CAMDMental Health Counselor
13252TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Hung OD Inc Optometrist CurrentSince Oct 25, 2011 Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

3943 Grand Ave
Chino, CA 91710
Phone (909) 590-0921

1827 Walnut Grove Ave
Rosemead, CA 91770
Phone (626) 312-2712

Organizations & group practices 2

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1457541559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 GINGER CT",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354326",
            "telephone_number": "714-425-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 WALNUT GROVE AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703789",
            "telephone_number": "626-312-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 S Azusa Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hacienda Heights",
            "state": "CA",
            "postal_code": "917456827",
            "country_code": "US",
            "telephone_number": "626-912-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3943 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105440",
            "country_code": "US",
            "telephone_number": "909-590-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNG",
        "first_name": "JENNY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13252TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.