JENNIFER SODANET KHEM (NPI# 1023423548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023423548 |
| Entity Type | Individual |
| Full Name | JENNIFER SODANET KHEM |
| Credential | OD |
| Practice Address |
2156 Montebello Town Ctr Montebello CA 90640-2170 |
| Practice Telephone | 3105465568 |
| Mailing Telephone | 3105465568 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 15317 | CA | Eye and Vision Services Providers |
| Street Address |
2156 MONTEBELLO TOWN CTR |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418304 | Catherine Luo | Optometrist | 2156 Montebello Town Ctr, Montebello, CA 90640-2170 | 2019-07-01 |
| 1225513229 | Emily Lin | Optometrist | 2156 Montebello Town Ctr, Montebello, CA 90640-2170 | 2018-09-26 |
| 1558856971 | Phoenix My Tran | Optometrist | 2156 Montebello Town Ctr, Montebello, CA 90640 | 2018-06-27 |
| 1396259669 | Eye People Optometry, Inc. | Optometrist | 2156 Montebello Town Ctr, Montebello, CA 90640-2170 | 2017-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982092201 | Maria Cristina Zamora Montebello Optometry | Optometrist | 2421 W Beverly Blvd, Montebello, CA 90640-2305 | 2015-01-08 |
| 1619001815 | Karen Wang | Optometrist | 908 W Yorktown Ave, Montebello, CA 90640-2555 | 2007-03-16 |
| 1336282318 | Martha Sanchez | Optometrist | 1818 W Beverly Blvd, Suite 105, Montebello, CA 90640-3966 | 2007-02-15 |
| 1386794071 | Michelle Jones-stephens | Optometrist | 1716 Montebello Town Ctr, Montebello, CA 90640-2162 | 2007-01-12 |
| 1255493946 | David Ian Reynolds | Optometrist | 1345 N Montebello Blvd, Inside Costco, Montebello, CA 90640-2585 | 2006-12-15 |
| 1750451985 | David John Duenas | Optometrist | 114 N Garfield Ave, Montebello, CA 90640-3808 | 2006-11-08 |
| 1699858035 | Ana Patricia Vargas | Optometrist | 1756 Montebello Town Ctr, Montebello, CA 90640-2163 | 2006-10-21 |
| 1518976448 | Catherine Huang | Optometrist | 1001 W Whittier Blvd, Ste E, Montebello, CA 90640-4688 | 2006-08-07 |
| 1780614545 | Harold Susumu Masuda | Optometrist | 1449 W Beverly Blvd, Montebello, CA 90640-4156 | 2006-07-04 |
| 1912998949 | Mai To Truong | Optometrist | 2449 W Beverly Blvd, Montebello, CA 90640-2305 | 2005-10-31 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.