Individual provider Active NPI

Jin Seo, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1487347019
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35426 Issued in CA
Practice address
3525 W 8TH St Ste 107
Los Angeles, CA 90005-5030
Phone
(213) 999-1046
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35426 CA Primary

Addresses

Primary practice location

3525 W 8TH St Ste 107
Los Angeles, CA 90005-5030

Mailing address

750 S Oxford Ave Apt 410
Los Angeles, CA 90005-4628
Phone (704) 962-5277

Other practice location 1

3359 Wilshire Blvd
Los Angeles, CA 90010-1803
Phone (213) 382-2777

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
I20250611003133 CA Practitioner - Optometry 7012427644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35426CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael B Choi MD Inc CurrentSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1487347019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S OXFORD AVE APT 410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054628",
            "telephone_number": "704-962-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W 8TH ST STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055030",
            "telephone_number": "213-999-1046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3359 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101803",
            "country_code": "US",
            "telephone_number": "213-382-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEO",
        "first_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.