Individual provider Active NPI

Connor J Magner, OD

  • Optometrist
  • Ventura, CA
National Provider Identifier
1023732518
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35316TLG Issued in CA
Practice address
3301 E Main St Ste 1006
Ventura, CA 93003-0910
Phone
(805) 650-8477
NPI assigned
Sep 28, 2022
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35316TLG CA Primary

Addresses

Primary practice location

3301 E Main St Ste 1006
Ventura, CA 93003-0910

Mailing address

3301 E Main St Ste 1006
Ventura, CA 93003-0910

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
I20221111000598 CA Practitioner - Optometry 0244607844 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35316TLGCAMDOptometrist
35316CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye and Vision Care Optometric Group Optometrist CurrentSince Oct 3, 2022 Accepting new patients
Magnifeye Optometry PC Optometrist CurrentSince Jan 28, 2026 Accepting new patients

Locations

10176 Mason Ave
Chatsworth, CA 91311
Phone (818) 701-0399

5300 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 692-6977

3301 E Main St
Ste 1006
Ventura, CA 93003
Phone (805) 650-3196

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1023732518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E MAIN ST STE 1006",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E MAIN ST STE 1006",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030910",
            "telephone_number": "805-650-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNER",
        "first_name": "CONNOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35316TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.