Jeremy Wing-Leung Tsui, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35146 Issued in CA

Practice address

613 Azevedo CT
Santa Clara, CA 95051-6201

Phone

(408) 338-5768

NPI assigned

Jul 29, 2022

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larry R Fabian and Jeffrey M Fanelli PTRS Westside Family Vision CenteGroup PAC ID 3072542273, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Larry R Fabian & Jeffrey M Fanelli PTRS Westside Family Vision Center

  • Optometrist
  • Saratoga, CA
  • NPI 1255406690
  Medicare reassignment Care Compare group NPD
• Larry R Fabian & Jeffrey M Fannelli PTRS Westside Family Vision Center

  • Optometrist
  • San Jose, CA
  • NPI 1518061159
  NPD

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1609502715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 AZEVEDO CT",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516201",
            "telephone_number": "408-338-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 AZEVEDO CT",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516201",
            "telephone_number": "408-338-5768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Azevedo Ct",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950516201",
            "country_code": "US",
            "telephone_number": "408-338-5768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSUI",
        "first_name": "JEREMY",
        "middle_name": "WING-LEUNG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Tsang
• Michael Tsao, MD
• Daniel S. Tseng, MD
• Yu-Tzu Tseng, M.D
• Rachel Elizabeth Tsolinas, MD
• Shuching Tsui, L.AC
• Allen Tran Tu
• Tiffany Tu, P.T.
• Trista Tugman-Mendez
• Ei Ei Tun, MD

• Optometrist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.