John T Ju, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6062TPA Issued in CA

Practice address

616 N Garfield Ave Ste 100
Monterey Park, CA 91754-1153

Phone

(626) 288-3555

Fax

(626) 571-0922

NPI assigned

Feb 21, 2007

Last updated

May 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

• Chino Optometry Center

  • Optometrist
  • Chino, CA
  • NPI 1639211360
  Medicare reassignment NPD Authorized official
• John T. Ju, OD

  • Optometrist
  • Monterey Park, CA
  • NPI 1891934162
  NPD (past)
• Zetan Nie, M.D. Inc

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1427669985
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1639214851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE STE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541153",
            "telephone_number": "626-288-3555",
            "fax_number": "626-571-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE STE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541153",
            "telephone_number": "626-288-3555",
            "fax_number": "626-571-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6062TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0060620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Jones, M.D.
• Joseph H Kuei MD Inc
• Joseph I Sandler M.D. a Medical Corp
• Joseph T. Fan, M.D.Inc
• Dennis Joyas
• Emily Juarez
• Julie K Sun MD, Inc
• Julie Lam M.D. Inc
• Jasmine Jumawan
• K. Fan D.D.S., Inc.

• Optometrist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.