Ronald F Janda, OD
Individual provider Active NPI Optometrist · Modesto, CA
NPI 1003843087 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1003843087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT8748T (CA)
- Practice address
- 1011 Sylvan Ave
Ste. a
Modesto, CA 95350-1692 - Phone
- (209) 575-2020
- Fax
- (209) 758-5693
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hinkley Optometric Corporation
Practice addresses (Care Compare)
1019 16TH St
Modesto, CA 95354-1105
Phone (209) 526-2737
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070215000769 | CA | Practitioner - Optometry | 7113929407 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT8748T | CA | MD | Optometrist |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current |
Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current |
Accepting new patients |
| Hinkley Optometric Corporation | Optometrist | Current |
Accepting new patients |
| Sylvan Eye Associates, a Medical Corporation | Optometrist | Current |
Accepting new patients |
| Fred WM Stellhorn Optometric Corporation | Optometrist | Past |
Accepting new patients |
Locations
1011 Sylvan Ave
Ste A
Modesto, CA 95350
Phone (209) 575-2020
1019 16th St
Modesto, CA 95354
Phone (209) 526-2737
1001 Sylvan Ave
Ste B
Modesto, CA 95350
Phone (209) 575-2020
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
991 E Monte Vista Ave
Ste 1
Turlock, CA 95382
Phone (209) 634-8591
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT8748T | CA | Yes |
Addresses
Primary practice location
1011 Sylvan Ave
Ste. a
Modesto, CA 95350-1692
Mailing address
1011 Sylvan Ave
Ste. a
Modesto, CA 95350-1692
Phone (209) 575-2020
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.