Active NPI
John C. Fleming, O.D.
- Optometrist
- Spring Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 8461 T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4079022 | Medicaid | CA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
9710 Winter Gardens Blvd
Suite a
Lakeside, CA 92040-3866
Phone (619) 443-1075
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 8461 T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Austin Tran, O.D., Optometric Corp. | Optometrist | Current | Accepting new patients |
| John C. Fleming | Optometrist | Current | 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.
-
- Optometrist
- Lakeside, CA
- NPI 1871302828
-
- Optometrist
- Spring Valley, CA
- NPI 1770355083
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.