Individual provider Active NPI

Justin Jeffry Wright, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1649754748
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9578T Issued in TX
Practice address
1155 Market St FL 10
San Francisco, CA 94103-1540
Phone
(415) 818-1155
NPI assigned
Sep 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 35898TLG CA
Optometrist 152W00000X 9578T TX Primary

Addresses

Primary practice location

1155 Market St FL 10
San Francisco, CA 94103-1540

Mailing address

806 Huntingdon PL
Austin, TX 78745-5508
Phone (480) 227-3897

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
I20250319001439 CA Practitioner - Optometry 3375065337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4539 Occidental Rd
Santa Rosa, CA 95401-5635
Phone 41569476307630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9578TTXMDOptometrist
35898TLGCAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse for the Blind and Visually Impaired Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Lighthouse for the Blind and Visually Impaired Low Vision Rehabilitation CurrentSince Mar 17, 2025 Accepting new patients

Locations

1155 Market St
San Francisco, CA 94103
Phone (415) 694-7306

1155 Market St
Fl 10
San Francisco, CA 94103
Phone (415) 686-9325

4539 Occidental Rd
Santa Rosa, CA 95401
Phone (415) 431-1481

Organizations & group practices 2

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1649754748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HUNTINGDON PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455508",
            "telephone_number": "480-227-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MARKET ST FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031540",
            "telephone_number": "415-818-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JUSTIN",
        "middle_name": "JEFFRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "35898TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9578T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.