Jinseon Jeong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11477TG Issued in TX

Practice address

5040 State Highway 121 Ste 400B
Lewisville, TX 75056-2610

Phone

(469) 284-0173

Fax

(469) 322-9933

NPI assigned

Jun 26, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1508754615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 STATE HIGHWAY 121 STE 400B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750562610",
            "telephone_number": "469-284-0173",
            "fax_number": "469-322-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 STATE HIGHWAY 121 STE 400B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750562610",
            "telephone_number": "469-284-0173",
            "fax_number": "469-322-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "JINSEON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11477TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jmax LLC

• Optometrist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.