DR. SOO JIN NOH (O.D.) – Optometrist, NPI 1326474602

DR. SOO JIN NOH (O.D.) is a healthcare provider. based in Sacramento, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT 14698 TLG (CA). The NPI Number for DR. SOO JIN NOH (O.D.) is 1326474602

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOO JIN NOH (O.D.)
NPI
1326474602
Phone
(916) 443-3524
Address
400 O ST
Enumeration Date
19 September 2013
Last Update Date
20 October 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
9164433524
Graduation Year
2013 (13 years ago)
PAC ID
2264734755
Group Practice PAC ID
8325456536
Professional Enrollment ID
I20161107002253
Address ID
CA958145327SA400XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

Provider Addresses for DR. SOO JIN NOH (O.D.)

  • 400 O ST

    STE 102

    SACRAMENTO, CA 958145327

    Phone: (916) 443-3524

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161107002253IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 95814)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325456536View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Is there an official ID for DR. SOO JIN NOH (O.D.) in U.S. healthcare records?
The official identifier for DR. SOO JIN NOH (O.D.) is NPI 1326474602.
Is there an active status for DR. SOO JIN NOH (O.D.)?
For scheduling context, DR. SOO JIN NOH (O.D.) is shown as active in the registry.
What clinical focus is listed for DR. SOO JIN NOH (O.D.)?
At a glance, DR. SOO JIN NOH (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. SOO JIN NOH (O.D.) located near Sacramento?
DR. SOO JIN NOH (O.D.) currently maps to Sacramento, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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