Kenneth F Jew, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 13513 TPA Issued in CA

Practice address

2901 Tasman Dr Ste 208
Santa Clara, CA 95054-1138

Phone

(800) 454-2747

Fax

(408) 486-0897

NPI assigned

Aug 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1891941324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TASMAN DR STE 208",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541138",
            "telephone_number": "800-454-2747",
            "fax_number": "408-486-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TASMAN DR STE 208",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541138",
            "telephone_number": "800-454-2747",
            "fax_number": "408-486-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEW",
        "first_name": "KENNETH",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13513 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristan Jennings
• Monique N Jennings
• Shirley J. Jensen, D.D.S.
• Ana Karla Jeronimo Navarro
• James Ransom Jespersen, D.D.S.
• Tom Jew, D.D.S.
• Dinah Lukshani Jeyasingh, M.D.
• Shan Hong Jiang Sr., LAC
• Jigna Khetani DDS,Inc
• Sabrina Jimenez

• Optometrist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.