Individual provider Active NPI

John C. Fleming, O.D.

  • Optometrist
  • Spring Valley, CA
National Provider Identifier
1033192133
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 8461 T Issued in CA
Practice address
9628 Campo Rd
Suite C
Spring Valley, CA 91977-1245
Phone
(619) 463-9318
Fax
(619) 463-9640
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 8461 T CA Primary

Addresses

Primary practice location

9628 Campo Rd
Suite C
Spring Valley, CA 91977-1245

Mailing address

9628 Campo Rd
Suite C
Spring Valley, CA 91977-1245
Phone (619) 463-9318

Other identifiers 1

IdentifierTypeStateIssuer
4079022MedicaidCA

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
I20120307000774 CA Practitioner - Optometry 5092980755 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Lakeside, CA; Spring Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Austin Tran OD Optometric CorpGroup PAC ID 5092237875, 3 clinicians

Practice addresses (Care Compare)

9710 Winter Gardens Blvd
Suite a
Lakeside, CA 92040-3866
Phone (619) 443-1075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8461 TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Austin Tran, O.D., Optometric Corp. Optometrist CurrentSince Apr 1, 2025 Accepting new patients
John C. Fleming Optometrist CurrentSince Oct 14, 2023 Accepting new patients

Locations

9710 Winter Gardens Blvd
Ste A
Lakeside, CA 92040
Phone (619) 443-1075

9628 Campo Rd
Spring Valley, CA 91977
Phone (619) 463-9318

9628 Campo Rd
Ste C
Spring Valley, CA 91977
Phone (619) 463-9318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1033192133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 CAMPO RD",
            "address_2": "SUITE C",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771245",
            "telephone_number": "619-463-9318",
            "fax_number": "619-463-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 CAMPO RD",
            "address_2": "SUITE C",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771245",
            "telephone_number": "619-463-9318",
            "fax_number": "619-463-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JOHN",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8461 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4079022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

Verify at the official NPI Registry.