Provider Demographics
NPI:1932241502
Name:TSENG, JENNY (O D)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:TSENG
Suffix:
Gender:F
Credentials:O D
Other - Prefix:
Other - First Name:JENNY YU CHUN
Other - Middle Name:
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:O D
Mailing Address - Street 1:PO BOX 62485
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94088-2485
Mailing Address - Country:US
Mailing Address - Phone:408-773-9662
Mailing Address - Fax:
Practice Address - Street 1:43621 PACIFIC COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3809
Practice Address - Country:US
Practice Address - Phone:510-770-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11260T152W00000X
WA3509152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist