Individual provider Active NPI

Jerald Brent Meek, O.D.

  • Optometrist
  • Paso Robles, CA
National Provider Identifier
1003087693
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8803TPA Issued in CA
Practice address
1034 Vine St
Paso Robles, CA 93446-2528
Phone
(805) 238-4460
Fax
(805) 238-1715
NPI assigned
Mar 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8803TPA CA Primary
Optometrist 152W00000X 113170-9934 UT

Addresses

Primary practice location

1034 Vine St
Paso Robles, CA 93446-2528

Mailing address

1034 Vine St
Paso Robles, CA 93446-2528
Phone (805) 238-4460

Other identifiers 1

IdentifierTypeStateIssuer
SD0088030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000380 CA Practitioner - Optometry 7517047764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Optometric Care of Paso Robles IncGroup PAC ID 3476944877, 2 clinicians

Practice addresses (Care Compare)

1034 Vine St
Paso Robles, CA 93446-2528
Phone (805) 238-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8803TPACAMDOptometrist
113170-9934UTMDOptometrist
8803CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
J Brent Meek O D Inc Optometrist CurrentSince Feb 1, 1995 Accepting new patients
Family Optometric Care of Paso Robles, Inc Optometrist CurrentSince Feb 8, 2022 Accepting new patients

Locations

1034 Vine St
Paso Robles, CA 93446
Phone (805) 238-2020

Interoperability endpoints

  • Direct secure messaging: jbrentmeek@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1003087693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462528",
            "telephone_number": "805-238-4460",
            "fax_number": "805-238-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462528",
            "telephone_number": "805-238-4460",
            "fax_number": "805-238-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "JERALD",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8803TPA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113170-9934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.