Judy Lynn Ichiuji, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10040 Issued in CA

Practice address

153 N San Fernando Blvd
Burbank, CA 91502-1208

Phone

(818) 848-6659

Fax

(818) 848-7911

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Judy Lynn Monji Other name

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

Specialty

Optometry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monji Optometry IncGroup PAC ID 6305152208, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Monji Optometry, Inc.

  • Optometrist
  • Burbank, CA
  • NPI 1205962768
  Medicare reassignment Care Compare group
• Granada Hills Optometry Center

  • Optometrist
  • Granada Hills, CA
  • NPI 1376648469
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1962461541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021208",
            "telephone_number": "818-848-6659",
            "fax_number": "818-848-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021208",
            "telephone_number": "818-848-6659",
            "fax_number": "818-848-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHIUJI",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0100400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "MONJI",
            "middle_name": "LYNN",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• I Care Hospice Inc
• I Ready Medical Center Inc
• Jessica Ibarra
• Ibolit Home Health, Inc
• Marisa Ice, M.A., LMFT
• Icon Health Solutions LLC
• Ideal Home Health Care, Inc
• Idyllic Healthcare Services
• Idyllic Home Health Services
• Ani Ifiktchyan, LCSW

• Optometrist in Burbank, CA
• Providers in Burbank, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.