Individual provider Active NPI

Jenny Tsai

  • Optician
  • City of Industry, CA
National Provider Identifier
1780934703
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
28832 Issued in CA
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

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SL3122OtherCAREGISTERED SPECTACLE LENS DISPENSER MEDICAL BOARD OF CA
28832OtherCACERTIFIED OPTICIAN
B2943OtherCACERTIFIED 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

OrganizationSpecialtyStatusNew patients
Agape Optical Inc CurrentSince Oct 31, 2021 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.

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.

Verify at the official NPI Registry.