Active NPI
Jeanne K Angeo, O.D.
- Optometrist
- City of Industry, CA
National Provider Identifier
1912090051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12962
- Practice address
- 17550 Castleton St
City of Industry, CA 91748-1701 - Phone
- (626) 581-1899
- NPI assigned
- Oct 2, 2006
- Last updated
- Mar 6, 2024
- Sex
- Female
- 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 | 12962 | CA | Primary |
Addresses
Primary practice location
17550 Castleton St
City of Industry, CA 91748-1701
Mailing address
13089 Peyton Dr # C437
Chino Hills, CA 91709-6018
Phone (626) 622-7592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1912090051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13089 PEYTON DR # C437",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096018",
"telephone_number": "626-622-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17550 CASTLETON ST",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481701",
"telephone_number": "626-581-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEO",
"first_name": "JEANNE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.