Jeannie Situ, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33921TLG Issued in CA

Legal business name

JEANNIE SITU, O.D., INC.

Practice address

12234 Palmdale Rd
Victorville, CA 92392-9418

Phone

(760) 843-9752

Fax

(760) 843-9848

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Jeannie Situ, ODNPI 1528558269

Title

Optometrist

Phone

(626) 233-2165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannie Situ, OD

  • Optometrist
  • Victorville, CA
  • NPI 1528558269
  Medicare reassignment NPD Authorized official
• Tiffany Christine Kwong, OD

  • Optometrist
  • Temple City, CA
  • NPI 1003427469
  NPD

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1720564958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 PALMDALE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 PALMDALE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929418",
            "telephone_number": "760-843-9752",
            "fax_number": "760-843-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE SITU, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SITU",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-233-2165",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33921TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazareth Jaramillo Correa, MD
• Adelicia Jaramillo
• Tershaunda Jasper
• Evelyn Jasso
• JCS LLC
• Jeff Barlow DDS and Mayna Chau DDS
• Courtney Jefferson
• Alina Jemerson
• Ebony M Jenkins, LCSW
• Jaquieria Jenkins

• Optometrist in Victorville, CA
• Providers in Victorville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.