JEANNIE SITU, O.D., INC.
NPI 1720564958
Optometrist in Victorville, CA

Q: What is Jeannie Situ, O.D., Inc.'s NPI number?

The NPI number for Jeannie Situ, O.D., Inc. is 1720564958. It was assigned to this organization in the NPPES registry on July 11, 2018.

Q: What is Jeannie Situ, O.D., Inc.'s specialty?

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

Active since July 11, 2018

12234 PALMDALE RD, VICTORVILLE, CA 92392(760) 843-9752(760) 843-9848 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeannie Situ, O.d., Inc. NPPES

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

JEANNIE SITU, O.D., INC. (NPI 1720564958) is a healthcare organization registered as an optometrist in Victorville, California and active in the NPI registry since July 2018. The organization lists Jeannie Situ, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1720564958

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJEANNIE SITU, O.D., INC.

Location Address12234 PALMDALE RDVictorville, CA 92392-9418

Mailing Address12234 Palmdale RdVictorville, CA 92392-9418

Phone(760) 843-9752

Fax(760) 843-9848

Organization SubpartNo

Authorized OfficialJeannie SituOptometrist · (626) 233-2165

Enumeration DateJuly 11, 2018

✔ NPI 1720564958 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 · 33921TLG

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.

12234 PALMDALE RD, Victorville, CA 92392

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannie Situ, O.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeannie Situ, O.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeannie Situ, OD

Optometry

NPI 1528558269

12234 PALMDALE RD
Victorville, CA 92392

(760) 843-9752

✔ PECOS✔ Accepts MedicareSame address

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 Jeannie Situ, O.D., Inc.'s NPI number?

The NPI number for Jeannie Situ, O.D., Inc. is 1720564958. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Jeannie Situ, O.D., Inc. located?

Jeannie Situ, O.D., Inc. is located at 12234 Palmdale Rd, Victorville, CA 92392. The listed phone number is (760) 843-9752.

What is Jeannie Situ, O.D., Inc.'s specialty?

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

Is Jeannie Situ, O.D., Inc. enrolled in Medicare?

Yes. Jeannie Situ, O.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeannie Situ, O.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jeannie Situ, O.D., Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeannie Situ, O.D., Inc. was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.