Individual provider Active NPI

Justine Hsieh, OD

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1619502705
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34492TLG Issued in CA
Practice address
2390 N Tustin Ave Ste B
Santa Ana, CA 92705-1657
Phone
(714) 543-3167
NPI assigned
Mar 9, 2020
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34492TLG CA Primary

Addresses

Primary practice location

2390 N Tustin Ave Ste B
Santa Ana, CA 92705-1657

Mailing address

2390 N Tustin Ave Ste B
Santa Ana, CA 92705-1657
Phone (714) 543-3167

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250124003316 CA Practitioner - Optometry 4880123512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2390 N Tustin Ave
Suite B
Santa Ana, CA 92705-1657
Phone (714) 543-3167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34492CAMDOrthodontics and Dentofacial Orthopedic Dentist
34492TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tustin Optometric Center Optometrist CurrentSince Nov 27, 2024 Accepting new patients

Locations

2390 N Tustin Ave
Ste B
Santa Ana, CA 92705
Phone (714) 543-3167

Interoperability endpoints

  • Direct secure messaging: justine.hsieh@uprisedirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1619502705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 N TUSTIN AVE STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051657",
            "telephone_number": "714-543-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 N TUSTIN AVE STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051657",
            "telephone_number": "714-543-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "JUSTINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34492TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.