Individual provider Active NPI

Jessica Quach

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1558023713
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35023 Issued in CA
Practice address
208 Great Mall Dr
Milpitas, CA 95035-8040
Phone
(408) 263-8000
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35023 CA Primary

Addresses

Primary practice location

208 Great Mall Dr
Milpitas, CA 95035-8040

Mailing address

208 Great Mall Dr
Milpitas, CA 95035-8040
Phone (408) 263-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35023CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Insight Optometry, Inc Optometrist CurrentSince Aug 27, 2023 Accepting new patients

Locations

208 Great Mall Dr
Milpitas, CA 95035
Phone (408) 263-3000

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1558023713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GREAT MALL DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358040",
            "telephone_number": "408-263-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GREAT MALL DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358040",
            "telephone_number": "408-263-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.