Individual provider Active NPI

Janice Perpignani Jackman, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1932250073
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9791-TLG Issued in CA
Practice address
2700 N Main St Ste 120
Santa Ana, CA 92705-6638
Phone
(714) 543-2022
Fax
(714) 760-4473
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9791-TLG CA Primary

Addresses

Primary practice location

2700 N Main St Ste 120
Santa Ana, CA 92705-6638

Mailing address

2700 N Main St Ste 120
Santa Ana, CA 92705-6638
Phone (714) 543-2022

Other names 1

  • Dr. Janice Lee Perpignani Former name

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
I20040923001299 CA Practitioner - Optometry 7719955939 Reassigns benefits to 1 organization
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9791-TLGCAMDOptometrist
9791CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen E Austin O D Inc Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 City Blvd W
Ste 111
Orange, CA 92868
Phone (714) 634-0033

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1932250073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056638",
            "telephone_number": "714-543-2022",
            "fax_number": "714-760-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056638",
            "telephone_number": "714-543-2022",
            "fax_number": "714-760-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "JANICE",
        "middle_name": "PERPIGNANI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9791-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "PERPIGNANI",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.