IndividualActive
Jessie Su, OD
NPI 1477124956 · Optometrist · Eastvale, CA
Jessie Su, OD is a Optometrist provider in Eastvale, CA (NPI 1477124956).
Provider details
- NPI number
- 1477124956
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 34941 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5030 Hamner Ave
Eastvale, CA 91752-1009
Phone: (951) 361-9092
Street-level locationGet directions
Mailing address
1643 Clyde St
San Bernardino, CA 92411-0945
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is Jessie Su's NPI number?
- Jessie Su's National Provider Identifier (NPI) is 1477124956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessie Su's specialty?
- Jessie Su is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jessie Su located?
- Jessie Su's practice location on file with NPPES is 5030 Hamner Ave, Eastvale, CA 91752-1009.
- What is Jessie Su's phone number?
- The practice phone number listed in the NPPES registry for Jessie Su is (951) 361-9092.
- Is Jessie Su's NPI active?
- Yes — Jessie Su's NPI (1477124956) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.