Organization Active NPI

Katie Y Jang Optometry Professional Corporation

Doing business as Vision Designs Optometry

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1881388650
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KATIE Y JANG OPTOMETRY PROFESSIONAL CORPORATION
Doing business as
Vision Designs Optometry
Practice address
35 Linden Ave Ste 102
Long Beach, CA 90802-5033
Phone
(562) 435-2020
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Katie JangNPI 1689291056
Title
OD
Phone
(310) 408-2692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

35 Linden Ave Ste 102
Long Beach, CA 90802-5033

Mailing address

35 Linden Ave Ste 102
Long Beach, CA 90802-5033
Phone (562) 435-2020

Other names 1

  • Vision Designs Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921003673 CA Part B Supplier - Clinic/Group Practice 8729432968 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

35 Linden Ave
Ste 102
Long Beach, CA 90802
Phone (562) 435-2020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1881388650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LINDEN AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025033",
            "telephone_number": "562-435-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LINDEN AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025033",
            "telephone_number": "562-435-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE Y JANG OPTOMETRY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "310-408-2692"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Designs Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.