Individual provider Active NPI

Jenny La

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1942837448
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002442 Issued in AZ
Practice address
3601 S 6TH Ave # 11-112a
Tucson, AZ 85723-0001
Phone
(520) 792-1450
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT-002442 AZ Primary

Addresses

Primary practice location

3601 S 6TH Ave # 11-112a
Tucson, AZ 85723-0001

Mailing address

3061 S Joshua Tree LN
Gilbert, AZ 85295-2769

Other practice location 1

855 S Dobson Rd Ste 1
Chandler, AZ 85224-5719
Phone (602) 955-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210723001831 AZ Practitioner - Optometry 2365845641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

855 S Dobson Rd
Suite 1
Chandler, AZ 85224-5719
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2021 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2021 Accepting new patients
Southwestern Eye Center LTD CurrentSince Aug 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations (25 of 31)

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5620 W Thunderbird Rd
Ste C5
Glendale, AZ 85306
Phone (602) 274-4992

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

7435 E Main St
Ste 101
Mesa, AZ 85207
Phone (480) 634-3777

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

5251 W Campbell Ave
Ste 102
Phoenix, AZ 85031
Phone (623) 846-7603

2125 W Indian School Rd
Phoenix, AZ 85015
Phone (602) 274-4992

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

3301 N Miller Rd
Ste 140
Scottsdale, AZ 85251
Phone (480) 945-8440

8763 E Bell Rd
Ste 106
Scottsdale, AZ 85260

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

4921 E Bell Rd
Scottsdale, AZ 85254

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

10615 W Thunderbird Blvd
Ste 100A
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste A100
Sun City, AZ 85351
Phone (623) 977-9600

Interoperability endpoints

  • Direct secure messaging: jenny.la.p11@direct.avp.nextgenshare.com
  • Direct secure messaging: jenny.la.p20@direct.avp.nextgenshare.com

Organizations & group practices 6

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1942837448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 S JOSHUA TREE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE # 11-112A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 S Dobson Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245719",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA",
        "first_name": "JENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.