DR. CYNTHIA TJAHJADI O.D.
NPI 1255413324
Optometrist in La Habra, CA

Q: What is Cynthia Tjahjadi's NPI number?

The NPI number for Cynthia Tjahjadi is 1255413324. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Dr. Mutia Tjahjadi O.D..

Q: What is Cynthia Tjahjadi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cynthia Tjahjadi was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 19, 2006PECOS Enrolled

1447 W WHITTIER BLVD, LA HABRA, CA 90631(562) 697-3995(562) 697-3446 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Cynthia Tjahjadi O.d. NPPES

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

DR. CYNTHIA TJAHJADI O.D. (NPI 1255413324) is an individual optometrist in La Habra, California, licensed in California (9158T) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255413324

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. CYNTHIA TJAHJADICredential: O.D.

Location Address1447 W WHITTIER BLVDLa Habra, CA 90631-3614

Mailing Address1447 W Whittier BlvdLa Habra, CA 90631-3614 · (562) 697-3995 · Fax (562) 697-3446

Phone(562) 697-3995

Fax(562) 697-3446

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateApril 22, 2020

NPPES CertifiedApril 22, 2020

✔ NPI 1255413324 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 · 9158T

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.

1447 W WHITTIER BLVD, La Habra, CA 90631

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Other Names 1

Other Name (5)Dr. Mutia Tjahjadi O.d.

Other Identifiers 2

MedicaidGSD001180CA

MedicaidSD0091580CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cynthia Tjahjadi O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

BENNETT A WEINER, OD

Optometrist

1447 W WHITTIER BLVD
LA HABRA, CA 90631

Orange County (562) 697-3995

DR. BENNETT AARON WEINER O.D.

Optometrist

1447 W WHITTIER BLVD
LA HABRA, CA 90631

Orange County (562) 697-3995

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 Cynthia Tjahjadi's NPI number?

The NPI number for Cynthia Tjahjadi is 1255413324. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Dr. Mutia Tjahjadi O.D..

Where is Cynthia Tjahjadi located?

Cynthia Tjahjadi practices at 1447 W Whittier Blvd, La Habra, CA 90631. The listed phone number is (562) 697-3995.

What is Cynthia Tjahjadi's specialty?

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

Is Cynthia Tjahjadi enrolled in Medicare?

Yes. Cynthia Tjahjadi is registered in the Medicare PECOS enrollment system.

What insurance does Cynthia Tjahjadi accept?

Health plans from Providence Health Plan list Cynthia Tjahjadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cynthia Tjahjadi was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.