Active NPI
Jenny Tsai
- Optician
- City of Industry, CA
National Provider Identifier
1780934703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 28832
- Practice address
- 17520 Castleton St
Suite 105a
City of Industry, CA 91748-1701 - Phone
- (626) 913-0042
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 28832 | CA | Primary |
Addresses
Primary practice location
17520 Castleton St
Suite 105a
City of Industry, CA 91748-1701
Mailing address
17520 Castleton St
Suite 105a
City of Industry, CA 91748-1701
Phone (626) 913-0042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL3122 | Other | CA | REGISTERED SPECTACLE LENS DISPENSER MEDICAL BOARD OF CA |
| 28832 | Other | CA | CERTIFIED OPTICIAN |
| B2943 | Other | CA | CERTIFIED CONTACT LENS TECHNICIAN NATIONAL CONTACT LENS EXAMINER |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Optical Inc | Current | Accepting new patients |
Locations
17520 Castleton St
Ste 105A
City of Industry, CA 91748
Phone (626) 715-3308
Organizations & group practices 1
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.
-
- Eyewear Supplier
- City of Industry, CA
- NPI 1891065918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1780934703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 CASTLETON ST",
"address_2": "SUITE 105A",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481701",
"telephone_number": "626-913-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 CASTLETON ST",
"address_2": "SUITE 105A",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481701",
"telephone_number": "626-913-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAI",
"first_name": "JENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "28832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED SPECTACLE LENS DISPENSER MEDICAL BOARD OF CA",
"identifier": "SL3122",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED OPTICIAN",
"identifier": "28832",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED CONTACT LENS TECHNICIAN NATIONAL CONTACT LENS EXAMINER",
"identifier": "B2943",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.