Jenny Y Cha, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2469 Issued in CT

Practice address

221 Addison Rd.
Suite 105
Glastonbury, CT 06033-5608

Phone

(860) 838-3838

Fax

(860) 838-3840

NPI assigned

Oct 27, 2006

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oculusdocs LLCGroup PAC ID 0547694465, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oculusdocs, LLC

  • Optometrist
  • Glastonbury, CT
  • NPI 1407490055
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1790861524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD.",
            "address_2": "SUITE 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD.",
            "address_2": "SUITE 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "JENNY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID #",
            "identifier": "785099",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "090002469CT13",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8058685",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "2204101",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "2545530",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED ID#",
            "identifier": "CT2469",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID #",
            "identifier": "OV8875",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Skin Surgery & Dermatology, PLLC
• Center for Vein Restoration CT LLC
• Central Connecticut Orofacial Sleep Medicine Inc
• Brianna Rose Cervizzi, DPT
• Susanne Cesana, HEALTH COACH
• Meghan Chafee, MSN, APRN, FNP-C
• Douglas Eric Chamberlin, M.D.
• Clifford Chambers Jr., CPT, CET, CCHT
• Randy Louis Champagne, COTA/L
• Clarissa Chan, PHARMD

• Optometrist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.