Jimmy Quang Od Inc
NPI 1336787043ActiveOrganization· Optometrist· San Juan Capistrano, CA
Optometrist in San Juan Capistrano, California, registered in NPPES in December 2019. The authorized official on file is Jimmy Quang, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336787043 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2019 |
| Last updated in NPPES | Sep 7, 2024 |
| Certified by provider | Sep 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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