Individual provider Active NPI

Jing K Han, O.D.

  • Optometrist
  • Folsom, CA
National Provider Identifier
1720018575
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12733 Issued in CA
Practice address
2690 E Bidwell St
Ste#500
Folsom, CA 95630-6430
Phone
(916) 983-6838
Fax
(916) 983-6846
NPI assigned
Jul 4, 2006
Last updated
May 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12733 CA Primary

Addresses

Primary practice location

2690 E Bidwell St
Ste#500
Folsom, CA 95630-6430

Mailing address

2690 E Bidwell St
Ste 500
Folsom, CA 95630-6430
Phone (916) 983-6838

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
I20060209000172 CA Practitioner - Optometry 5597770701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Eyes Optometry IncGroup PAC ID 5698956449, 6 clinicians
Han and Rodriguez-Bayes Optometry General PartnershipGroup PAC ID 1153868393, 2 clinicians

Practice addresses (Care Compare)

2690 E Bidwell St
Suite 500
Folsom, CA 95630-6432
Phone (916) 983-6838

4917 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9632
Phone (916) 941-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12733CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Han and Elk Grove Optometric Inc Optometrist Current Accepting new patients
Healthy Eyes Optometry Inc Optometrist CurrentSince Aug 14, 2010 Accepting new patients
Han and Rodriguez-Bayes Optometry General Partnership Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Corydon G Edgecomb OD Inc Optometrist Past Accepting new patients

Locations

4917 Golden Foothill Pkwy
El Dorado Hills, CA 95762
Phone (916) 941-3800

4917 Golden Foothill Pkwy
#A
El Dorado Hills, CA 95762

4917 Golden Foothill Pkwy
Ste A
El Dorado Hills, CA 95762
Phone (916) 934-2689

2690 E Bidwell St
Ste 500
Folsom, CA 95630
Phone (916) 549-6728

197 W El Portal Dr
Merced, CA 95348

197 W El Portal Dr
Ste A
Merced, CA 95348
Phone (209) 384-2110

1287 Broadway
Placerville, CA 95667
Phone (530) 622-1711

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, 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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1720018575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "STE 500",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-6838",
            "fax_number": "916-983-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 E BIDWELL ST",
            "address_2": "STE#500",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306430",
            "telephone_number": "916-983-6838",
            "fax_number": "916-983-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JING",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.