Provider Demographics
NPI:1619198165
Name:JC OPTICAL INC.
Entity Type:Organization
Organization Name:JC OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:626-913-0042
Mailing Address - Street 1:18414 COLIMA RD STE F
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2883
Mailing Address - Country:US
Mailing Address - Phone:626-913-0042
Mailing Address - Fax:626-913-7271
Practice Address - Street 1:18414 COLIMA RD STE F
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2883
Practice Address - Country:US
Practice Address - Phone:626-913-0042
Practice Address - Fax:626-913-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5711156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty