Organization Active NPI

Justin Hu, O.D., Incorporated

  • Optometrist
  • South Pasadena, CA
National Provider Identifier
1508148941
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13761 TLG Issued in CA
Legal business name
JUSTIN HU, O.D., INCORPORATED
Practice address
1103 Fair Oaks Ave
South Pasadena, CA 91030-3311
Phone
(626) 441-0770
Fax
(626) 441-0990
NPI assigned
Sep 12, 2011
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Dr. Justin Hu, O.D.NPI 1932402187
Title
Owner, Optometrist
Phone
(626) 441-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13761 TLG CA Primary

Addresses

Primary practice location

1103 Fair Oaks Ave
South Pasadena, CA 91030-3311

Mailing address

1103 Fair Oaks Ave
South Pasadena, CA 91030-3311
Phone (626) 441-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000132 CA Part B Supplier - Clinic/Group Practice 7214108968 Receives reassigned benefits from 5 practitioners
Practice locations: Arcadia, CA; South Pasadena, CA

National Provider Directory

National Provider Directory
Tax ID family
Justin Hu OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1103 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 441-0770

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1508148941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303311",
            "telephone_number": "626-441-0770",
            "fax_number": "626-441-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303311",
            "telephone_number": "626-441-0770",
            "fax_number": "626-441-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN HU, O.D., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "626-441-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13761 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.