Individual provider Active NPI

Jolyn Wei, O.D.

  • Optometrist
  • Pacoima, CA
National Provider Identifier
1770731242
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13614TLG Issued in CA
Practice address
13550 Paxton St
Pacoima, CA 91331-2352
Phone
(818) 890-9600
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT13614TLG CA Primary

Addresses

Primary practice location

13550 Paxton St
Pacoima, CA 91331-2352

Mailing address

13550 Paxton St
Pacoima, CA 91331-2352
Phone (818) 890-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13614TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Levine, Robert E. MD, a Medical Corporation Single Specialty CurrentSince Sep 22, 2014 Accepting new patients
Northwest Pediatric Eye Care P.S. Single Specialty PastSince Jul 15, 2015 Accepting new patients

Locations

201 S Alvarado St
Ste 500
Los Angeles, CA 90057
Phone (213) 413-7300

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770731242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 PAXTON ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312352",
            "telephone_number": "818-890-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 PAXTON ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312352",
            "telephone_number": "818-890-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEI",
        "first_name": "JOLYN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13614TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.