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JINGYI TAN O.D.
NPI 1104132422
Optometrist in San Diego, CA

Active since August 24, 2010
4353 LA JOLLA VILLAGE DR, SUITE H20, SAN DIEGO, CA 92122(858) 622-2171 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jingyi Tan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JINGYI TAN O.D. (NPI 1104132422) is an individual optometrist in San Diego, California, licensed in California (14057) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1104132422
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJINGYI TANCredential: O.D.
Location Address4353 LA JOLLA VILLAGE DR, SUITE H20San Diego, CA 92122-1259
Mailing Address1049 Felspar St, Unit #33San Diego, CA 92109-2828 · (678) 687-6505
Phone(858) 622-2171
Sole ProprietorNo
Enumeration DateAugust 24, 2010
✔ NPI 1104132422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 14057
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4353 LA JOLLA VILLAGE DR, San Diego, CA 92122
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL GAWARGI O.D.
Optometrist
4353 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92122
San Diego County (201) 935-3041
DR ELLIOTT SHAPIRO, FAMILY OPTOMETRY INC.
Optometrist
4353 LA JOLLA VILLAGE DR, SUITE H20
SAN DIEGO, CA 92122
San Diego County (858) 622-2165
DR. PARIYA SHAMSAEE O.D.
Optometrist
4353 LA JOLLA VILLAGE DR, STE H-20
SAN DIEGO, CA 92122
San Diego County (858) 622-2170
NINA WANG OD
Optometrist
4353 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92122
San Diego County (858) 622-2165
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
4353 LA JOLLA VILLAGE DR, UNIVERSITY TOWNE CTR STE #H20
SAN DIEGO, CA 92122
San Diego County (858) 622-2170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jingyi Tan's NPI number?

The NPI number for Jingyi Tan is 1104132422. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Jingyi Tan located?

Jingyi Tan practices at 4353 La Jolla Village Dr Suite H20, San Diego, CA 92122. The listed phone number is (858) 622-2171.

What is Jingyi Tan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jingyi Tan was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.