MISS JASMINE LYNN (O.D) – Optometrist, NPI 1487158622

MISS JASMINE LYNN (O.D) is a healthcare provider. based in Sepulveda, California. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. 33941TLG (CA). The NPI Number for MISS JASMINE LYNN (O.D) is 1487158622

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MISS JASMINE LYNN (O.D)
NPI
1487158622
Phone
(818) 891-7711
Address
16111 PLUMMER ST
Enumeration Date
22 March 2018
Last Update Date
25 June 2018

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
8224360359
Group Practice PAC ID
1759665367
Professional Enrollment ID
I20191023000467
Address ID
CA908135514LO1360XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for MISS JASMINE LYNN (O.D)

  • 16111 PLUMMER ST

    SEPULVEDA, CA 91343

    Phone: (818) 891-7711

    Fax: (818) 895-9535

    Type: Location

  • 8372, Winston Road, Stanton, Orange County, California, 90680, United States

    STANTON, CA 906801728

    Phone: (562) 253-1996

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($240).

Total Amount

$270

General + Research + Ownership

Payments

3

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-23

PECOS data refreshed: 2026-05-27

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
I20191023000467IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91343)

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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: 1759665367View full group profile
NameSpecialtyState
Nurse PractitionerCA
C H I R O P R A C T I CCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA
Family PracticeCA
Internal MedicineCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Is MISS JASMINE LYNN (O.D) listed with a National Provider Identifier?
Yes — MISS JASMINE LYNN (O.D) has NPI 1487158622 on file in the registry.
Is MISS JASMINE LYNN (O.D) shown as active in public data?
Registry records indicate MISS JASMINE LYNN (O.D) maintains an active NPI.
What clinical focus is listed for MISS JASMINE LYNN (O.D)?
At a glance, MISS JASMINE LYNN (O.D) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MISS JASMINE LYNN (O.D)?
Travel planning: use Sepulveda, California as the reference point for MISS JASMINE LYNN (O.D), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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