SAN PEDRO OPTOMETRY
NPI 1609389139
Clinic/Center in San Pedro, CA

Active since November 07, 2017
625 W 9TH ST, SAN PEDRO, CA 90731(310) 833-2495 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Jul 15, 2024, Nov 7, 2017 (3 updates tracked since 2017).

About San Pedro Optometry NPPES

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

SAN PEDRO OPTOMETRY (NPI 1609389139) is a healthcare organization registered as a clinic/center in San Pedro, California and active in the NPI registry since November 2017. The organization lists Jennifer Che, Optometrist/ownder, as its authorized official.

NPPES Registry Identity

NPI1609389139
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJENNIFER CHE O D A PROFESSIONAL CORPORATION
Location Address625 W 9TH STSan Pedro, CA 90731-3107
Mailing Address625 W 9th StSan Pedro, CA 90731-3107 · (310) 833-2495
Organization SubpartNo
Authorized OfficialJennifer CheOptometrist/ownder · (754) 229-1918
Enumeration DateNovember 7, 2017
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1609389139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
625 W 9TH ST, San Pedro, CA 90731

Other Names 1

Doing Business AsSan Pedro Optometry

Other Identifiers 1

Medicaid3494144CA

Accepted Insurance

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.

Optometrist
625 W 9TH ST
SAN PEDRO, CA 90731
Optometrist
625 W 9TH ST
SAN PEDRO, CA 90731

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 Jennifer Che O D A Professional Corporation's NPI number?

The NPI number for Jennifer Che O D A Professional Corporation is 1609389139. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as San Pedro Optometry.

Where is Jennifer Che O D A Professional Corporation located?

Jennifer Che O D A Professional Corporation is located at 625 W 9th St, San Pedro, CA 90731. The listed phone number is (310) 833-2495.

What is Jennifer Che O D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Jennifer Che O D A Professional Corporation accept?

Health plans from BlueCross BlueShield of Tennessee list Jennifer Che O D A Professional Corporation 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 Jennifer Che O D A Professional Corporation was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.