Individual provider Active NPI

Jansen John Coen, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1952021669
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35331 Issued in CA
Practice address
2831 J St
Sacramento, CA 95816-4315
Phone
(916) 442-5126
NPI assigned
Sep 1, 2022
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10674 TX
Optometrist 152W00000X 35331 CA Primary

Addresses

Primary practice location

2831 J St
Sacramento, CA 95816-4315

Mailing address

3151 S St Apt 252
Sacramento, CA 95816-7074
Phone (916) 842-7449

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
I20240516002346 CA Practitioner - Optometry 4587032354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2831 J St
Sacramento, CA 95816-4315
Phone (916) 442-5126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10674TXMDProfessional Counselor
35331CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Optometrics, a Professional Corporation Optometrist Current Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist CurrentSince May 27, 2024 Accepting new patients
Ebf Eye Pro, LLC Optometrist PastSince Sep 1, 2022 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist Past Accepting new patients
Eyecenter Optometrics, a Professional Corporation Optometrist Past Accepting new patients

Locations

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

421 Blue Ravine Rd
Ste 300
Folsom, CA 95630
Phone (916) 452-4706

2200 Sunrise Blvd
Ste 120
Gold River, CA 95670
Phone (916) 852-1600

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020

2831 J St
Sacramento, CA 95816
Phone (916) 441-5800

Organizations & group practices 5

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1952021669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 S ST APT 252",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167074",
            "telephone_number": "916-842-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164315",
            "telephone_number": "916-442-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEN",
        "first_name": "JANSEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10674",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.