Active NPI
Dennis Soung Jhee, O.D
- Optometrist
- Rowland Heights, CA
National Provider Identifier
1912026980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9904
- Practice address
- 18742 Colima Rd
Rowland Heights, CA 91748-2916 - Phone
- (626) 854-1001
- Fax
- (626) 854-0025
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9904 | CA | Primary |
Addresses
Primary practice location
18742 Colima Rd
Rowland Heights, CA 91748-2916
Mailing address
18742 Colima Rd
Rowland Heights, CA 91748-2916
Phone (626) 854-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0099040 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9904 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis S Jhee OD Inc | Optometrist | Current | Accepting new patients |
Locations
18742 Colima Rd
Rowland Hghts, CA 91748
Phone (626) 854-1001
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912026980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18742 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482916",
"telephone_number": "626-854-1001",
"fax_number": "626-854-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18742 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917482916",
"telephone_number": "626-854-1001",
"fax_number": "626-854-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JHEE",
"first_name": "DENNIS",
"middle_name": "SOUNG",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0099040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.