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JIMMY K SO OD INC
NPI 1790047660
Optometrist in Upland, CA

Active since June 15, 2012
1261 W FOOTHILL BLVD, SUITE 8, UPLAND, CA 91786(909) 982-9366(909) 982-2477 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy K So Od Inc NPPES

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

JIMMY K SO OD INC (NPI 1790047660) is a healthcare organization registered as an optometrist in Upland, California and active in the NPI registry since June 2012. The organization lists Jimmy K So, Owner, as its authorized official.

NPPES Registry Identity

NPI1790047660
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJIMMY K SO OD INC
Location Address1261 W FOOTHILL BLVD, SUITE 8Upland, CA 91786-8018
Mailing Address1261 W Foothill Blvd, Suite 8Upland, CA 91786-8018 · (909) 982-9366 · Fax (909) 982-2477
Phone(909) 982-9366
Fax(909) 982-2477
Organization SubpartNo
Authorized OfficialJimmy K SoOwner · (909) 982-9366
Enumeration DateJune 15, 2012
✔ NPI 1790047660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1261 W FOOTHILL BLVD, Upland, CA 91786
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

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

NATIONAL VISION, INC.
Eyewear Supplier
1261 W FOOTHILL BLVD, UNIT B
UPLAND, CA 91786
San Bernardino County (909) 982-6550

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 Jimmy K So Od Inc's NPI number?

The NPI number for Jimmy K So Od Inc is 1790047660. It was assigned to this organization in the NPPES registry on June 15, 2012.

Where is Jimmy K So Od Inc located?

Jimmy K So Od Inc is located at 1261 W Foothill Blvd Suite 8, Upland, CA 91786. The listed phone number is (909) 982-9366.

What is Jimmy K So Od Inc's specialty?

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

What insurance does Jimmy K So Od Inc accept?

Health plans from BlueCross BlueShield of Tennessee list Jimmy K So Od Inc 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 Jimmy K So Od Inc was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.