Individual provider Active NPI

Julia Wen, O.D.

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1831236397
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11976 Issued in CA
Practice address
310 Barber CT
Milpitas, CA 95035-7922
Phone
(408) 432-8101
Fax
(408) 432-8103
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11976 CA Primary

Addresses

Primary practice location

310 Barber CT
Milpitas, CA 95035-7922

Mailing address

310 Barber CT
Milpitas, CA 95035-7922
Phone (408) 432-8101

Other identifiers 1

IdentifierTypeStateIssuer
SD0119760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20140220000108 CA Practitioner - Optometry 4486883360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

233 N Santa Cruz Ave
Los Gatos, CA 95030-7206
Phone (408) 354-9310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11976CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 19, 2021 Accepting new patients
Golden Vision Optometry of Cupertino Past Accepting new patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

19459 Stevens Creek Blvd
Ste 110
Cupertino, CA 95014
Phone (408) 996-9886

233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310

310 Barber Ct
Milpitas, CA 95035
Phone (408) 342-8101

310 Barber Ct
Bldg E
Milpitas, CA 95035

310 Barber Ct
Unit 180
Milpitas, CA 95035
Phone (408) 432-8101

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1831236397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BARBER CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357922",
            "telephone_number": "408-432-8101",
            "fax_number": "408-432-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BARBER CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357922",
            "telephone_number": "408-432-8101",
            "fax_number": "408-432-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEN",
        "first_name": "JULIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.