Jennifer Tabiza, Optometrist, Apc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13816 Issued in CA

Legal business name

JENNIFER TABIZA, OPTOMETRIST, APC

Practice address

8610 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-4009

Phone

(310) 670-1888

Fax

(310) 670-1343

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Tabiza, O.D.NPI 1629209085

Title

Owner

Phone

(310) 670-1888

Specialties & licenses 1

Addresses

Other names 1

• Westchester Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Tabiza, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1629209085
  Medicare reassignment Authorized official
• Judy Canberk, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1518638287
  NPD

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1487972162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 S SEPULVEDA BLVD",
            "address_2": "STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454008",
            "telephone_number": "310-670-1888",
            "fax_number": "310-670-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 S SEPULVEDA BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454009",
            "telephone_number": "310-670-1888",
            "fax_number": "310-670-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TABIZA, OPTOMETRIST, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "TABIZA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-670-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westchester Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Shultz, PSYD
• Jennifer Siegel Psychiatry
• Jennifer Steinberg
• Jennifer Sudarsky MD a Professional Corp
• Jennifer T. Nguyen, DMD, Inc.
• Jennifer Trajano Maland, LMFT
• Jennifer Walters Family Therapy Incorporated
• Chasity Jennings-Nunez, MD
• Brieanne Marie Jennings, LCSW
• Conrad Samuel Suka Jennings

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.