Individual provider Active NPI

Jennifer Hwang, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1932082096
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36066 Issued in CA
Practice address
5301 Almaden Expy
San Jose, CA 95118-3603
Phone
(408) 721-2068
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36066 CA Primary

Addresses

Primary practice location

5301 Almaden Expy
San Jose, CA 95118-3603

Mailing address

839 Morrison Park Dr Apt 124
San Jose, CA 95126-5315

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213003875 CA Practitioner - Optometry 7416437926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

839 Morrison Park Dr
Apt 124
San Jose, CA 95126-5314

839 Morrison Park Dr Apt
Suite 124
San Jose, CA 95126-5315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36066CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Yeh Optometry Corporation Optometrist CurrentSince Dec 17, 2025 Accepting new patients

Locations

654 N Santa Cruz Ave
Ste A
Los Gatos, CA 95030
Phone (408) 399-3909

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1932082096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 MORRISON PARK DR APT 124",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALMADEN EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183603",
            "telephone_number": "408-721-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.