Individual provider Active NPI

Jason Tu, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1619902954
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11286T Issued in CA
Practice address
3830 Valley Centre Dr Ste 703
San Diego, CA 92130-3307
Phone
(858) 350-4980
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11286T CA Primary

Addresses

Primary practice location

3830 Valley Centre Dr Ste 703
San Diego, CA 92130-3307

Mailing address

13525 Chelly CT
San Diego, CA 92129-4444

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
I20040223001357 CA Practitioner - Optometry 4082500467 Reassigns benefits to 2 organizations
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11286TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Optometry Ventures, Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Vision Boutique Optometry Optometrist PastSince Jan 2, 2022 Accepting new patients
Downtown Optometry Optometrist PastSince Jul 1, 2017 Accepting new patients

Locations

3830 Valley Centre Dr
Ste 703
San Diego, CA 92130
Phone (858) 350-4980

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1619902954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 CHELLY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR STE 703",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303307",
            "telephone_number": "858-350-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11286T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.