Jennifer An-Jeng Juang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3486 Issued in WA

Practice address

4538 Klahanie Dr SE
Issaquah, WA 98029-5812

Phone

(425) 392-9982

Fax

(815) 301-5473

NPI assigned

Feb 12, 2007

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

• Jenny An-Jeng Juang Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

University of California - School of Optometry, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Michael Dennis Erickson, O.D.

  • Optometrist
  • Issaquah, WA
  • NPI 1093707556
  Medicare reassignment
• NW Eye Docs, Inc.

  • Optometrist
  • Covington, WA
  • NPI 1073655668
  NPD (past) Authorized official
• NW Eye Docs, Inc.

  • Optometrist
  • Issaquah, WA
  • NPI 1861533622
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1962544569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1834",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270075",
            "telephone_number": "206-251-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 KLAHANIE DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295812",
            "telephone_number": "425-392-9982",
            "fax_number": "815-301-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUANG",
        "first_name": "JENNIFER",
        "middle_name": "AN-JENG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "JU1418",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "JUANG",
            "middle_name": "AN-JENG",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renee Jones, LMHCA, CDP
• Susan Jones, A.R.N.P.
• Robert Eric Jorgensen, DDS
• Nicole R R Josephsen, MA
• Ju Yon Sophie Yi, MD, DDS, PLLC
• Judith Mendenhall, MSW, Licsw, PLLC
• Julie P. Franke, Licsw, PLLC
• Jhansi Juluri
• JWSC PLLC
• Tarja Kaakko

• Optometrist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.