BENJAMIN JA O.D.
NPI 1720172661
Optometrist in Sacramento, CA

Q: What is Benjamin Ja's NPI number?

The NPI number for Benjamin Ja is 1720172661. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Benjamin Ja'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 Benjamin Ja was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 03, 2006PECOS EnrolledAccepts Medicare Assignment

1650 RESPONSE RD, SACRAMENTO, CA 95815(916) 648-0222(916) 648-0231 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, May 24, 2019, Nov 24, 2015 (3 updates tracked since 2015).

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About Benjamin Ja O.d. NPPES

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

BENJAMIN JA O.D. (NPI 1720172661) is an individual optometrist in Sacramento, California, licensed in California (9014T) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1988).

NPPES Registry Identity

NPI1720172661

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameBENJAMIN JACredential: O.D.

Location Address1650 RESPONSE RDSacramento, CA 95815-4807

Mailing Address1680d E Roseville Pkwy, Bldg D Unit 110Roseville, CA 95661-3988 · (916) 797-3139 · Fax (877) 738-4262

Phone(916) 648-0222

Fax(916) 648-0231

Sole ProprietorNo

Medical School CMSUniversity Of California - School Of OptometryGraduated 1988

Enumeration DateOctober 3, 2006

Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration

✔ NPI 1720172661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · 9014T✔ Licensed in CA · 9014

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.

1650 RESPONSE RD, Sacramento, CA 95815

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Ja O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234201062

PECOS Enrollment IDI20080710000404

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 95815 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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 20

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

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