Active NPI
Jenny S. Choi OD, Inc.
- Optometrist
- Santa Ana, CA
National Provider Identifier
1730233271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11301T
- Legal business name
- JENNY S. CHOI OD, INC.
- Practice address
- 3930 S Bristol St Ste 207
Santa Ana, CA 92704-7431 - Phone
- (714) 957-2704
- Fax
- (714) 557-4492
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jenny S Choi, O.D.
- Title
- Owner/Optometrist
- Phone
- (714) 957-2704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11301T | CA | Primary |
Addresses
Primary practice location
3930 S Bristol St Ste 207
Santa Ana, CA 92704-7431
Mailing address
3930 S Bristol St Ste 207
Santa Ana, CA 92704-7431
Phone (714) 957-2704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20531 | Other | CA | MEDICARE PTAN |
Other names 1
- See 20/20 Optometry
National Provider Directory
National Provider DirectoryLocations
3930 S Bristol St
Ste 207
Santa Ana, CA 92704
Phone (714) 957-2704
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Carlsbad, CA
- NPI 1245464460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328313600000",
"number": "1730233271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 S BRISTOL ST STE 207",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047431",
"telephone_number": "714-957-2704",
"fax_number": "714-557-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 S BRISTOL ST STE 207",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047431",
"telephone_number": "714-957-2704",
"fax_number": "714-557-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNY S. CHOI OD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2012-02-04",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "714-957-2704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "11301T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W20531",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "See 20/20 Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.