Individual provider Active NPI

Jasmine Lew

  • Optometrist
  • Santa Rosa, CA
National Provider Identifier
1922620186
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34589 Issued in CA
Practice address
2033 Santa Rosa PLZ
Santa Rosa, CA 95401-6349
Phone
(707) 544-0924
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34589 CA Primary

Addresses

Primary practice location

2033 Santa Rosa PLZ
Santa Rosa, CA 95401-6349

Mailing address

2033 Santa Rosa PLZ
Santa Rosa, CA 95401-6349
Phone (707) 544-0924

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34589CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. CurrentSince Dec 22, 2024 Accepting new patients
Luxottica of America Inc PastSince Jun 9, 2024 Accepting new patients

Locations

120 Vintage Way
Ste D9
Novato, CA 94945
Phone (415) 507-0800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1922620186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SANTA ROSA PLZ",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016349",
            "telephone_number": "707-544-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 SANTA ROSA PLZ",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016349",
            "telephone_number": "707-544-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.