Jelen Optometry Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JELEN OPTOMETRY INC.

Practice address

620 W Yosemite Ave
Madera, CA 93637-4523

Phone

(559) 674-6268

Fax

(559) 691-4008

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Jelen, ODNPI 1336721422

Title

Owner

Phone

(310) 428-4903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Frank Jelen Jr.

  • Student in an Organized Health Care Education/Training Program
  • Anaheim, CA
  • NPI 1336721422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1831805035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374523",
            "telephone_number": "559-674-6268",
            "fax_number": "559-691-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374523",
            "telephone_number": "559-674-6268",
            "fax_number": "559-691-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELEN OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "JELEN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-428-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heleazin Jauregui
• Jose H Jauregui, DDS
• Caaithiry Jayaraman, M.D.
• Alyssa Loretta Jefferson
• Jeffrey Hessman DPM, Inc.
• Christina Marie Jelen, FNP
• Allan Jenkins
• Sara Elizabeth Jennings, NP
• Adam Lee Jensen, PT
• Richard Andrew Jensen

• Health Service Clinic/Center in Madera, CA
• Providers in Madera, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.