SAN PEDRO OPTOMETRY
NPI 1609389139
Clinic/Center in San Pedro, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Pedro Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to San Pedro Optometry, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Jennifer Che O D A Professional Corporation enrolled in Medicare?
Yes. Jennifer Che O D A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennifer Che O D A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Jennifer Che O D A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jennifer Che O D A Professional Corporation accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and 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 2 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.
# San Pedro Optometry · NPI 1609389139
Clinic/Center organization in San Pedro, California. Organization record, active in the CMS NPPES registry since November 7, 2017.
## Identity
- **NPI:** 1609389139 (Entity type: Organization)
- **Enumerated:** November 7, 2017
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Jennifer Che O D A Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Jennifer Che, OPTOMETRIST/OWNDER
## Practice location
- **Address:** 625 W 9TH ST, San Pedro, CA 90731-3107
- **Phone:** (310) 833-2495
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2024
- **Other identifiers:** Medicaid 3494144 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609389139) · Data from the CMS NPPES public registry.