Organization Active NPI

Jenny Hung OD Inc

  • Optometrist
  • Rosemead, CA
National Provider Identifier
1528336765
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13252 TLG Issued in CA
Legal business name
JENNY HUNG OD INC
Practice address
1827 Walnut Grove Ave
Rosemead, CA 91770-3789
Phone
(626) 312-2712
NPI assigned
Dec 2, 2011
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Jenny P Hung, ODNPI 1457541559
Title
Optometrist
Phone
(626) 312-2712

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 13252 TLG 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

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111221000265 CA Part B Supplier - Clinic/Group Practice 8729254800 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA; Rosemead, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1528336765",
    "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": "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": {
        "organization_name": "JENNY HUNG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-312-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13252 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.