Jennifer Che O D a Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JENNIFER CHE O D A PROFESSIONAL CORPORATION

Doing business as

San Pedro Optometry

Practice address

625 W 9TH St
San Pedro, CA 90731-3107

Phone

(310) 833-2495

NPI assigned

Nov 7, 2017

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer CheNPI 1013205905

Title

Optometrist/Ownder

Phone

(754) 229-1918

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Pedro Optometry 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, and the practitioner matching its NPPES authorized official.

• Jennifer J Che, O.D

  • Optometrist
  • San Pedro, CA
  • NPI 1013205905
  Medicare reassignment NPD Authorized official
• Brenda Tran

  • Optometrist
  • San Pedro, CA
  • NPI 1235979733
  Medicare reassignment NPD

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1609389139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313107",
            "telephone_number": "310-833-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313107",
            "telephone_number": "310-833-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHE O D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "CHE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNDER",
        "authorized_official_telephone_number": "754-229-1918",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3494144",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Pedro Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James T London M D a Professional Corporation
• Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy
• Alvin Jang, LCSW
• Daniel Jara
• Lerin Moriah Jaraczewski, RN
• Jennifer Randolph Acupuncture
• Jeremy Anuntiyo MD Inc
• Kevin Jervik, PHD
• Raylyn Justine Jilani
• Andres Jimenez, M.D.

• Clinic/Center in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.