Jeffrey Connor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33683TLG Issued in CA

Practice address

23905 Clinton Keith Rd Ste 115
Wildomar, CA 92595-7899

Phone

(951) 304-9733

NPI assigned

Aug 31, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jeffery.connor.p3@direct.inlandeyespecialists.nextgenshare.com

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.

• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Hemet, CA
  • NPI 1083622567

  Optometrist

  Medicare reassignment NPD
• Inland Eye Specialists, a Medical Corporation

  dba Inland Eye Specialists

  • Ophthalmology Physician
  • Beaumont, CA
  • NPI 1518615947

  Optometrist

  NPD
• Crum Optometric Group, Inc

  • Optometrist
  • Chino Hills, CA
  • NPI 1831378843
  NPD (past)
• J Pietrantonio OD Inc

  dba Los Gatos Optometric Vision Care

  • Optometrist
  • Los Gatos, CA
  • NPI 1346442043
  NPD (past)
• Mark a Jury, OD a Optometric Professional Corporation

  • Optometrist
  • Wildomar, CA
  • NPI 1376627000
  NPD (past)
• Mark a. Chung, O.D., a Professional Corporation

  dba West Hollywood Optometric Center

  • Optometrist
  • West Hollywood, CA
  • NPI 1861800997
  NPD (past)
• Mark a. Jury Optometric Professional Corporation

  • Optometrist
  • Wildomar, CA
  • NPI 1033293592
  NPD (past)
• Robert J Joyce OD Apc

  dba Mission Optometry

  • Optometrist
  • Lake Elsinore, CA
  • NPI 1134395585
  NPD (past)
• Robert J. Joyce O.D.

  • Optometrist
  • Lake Elsinore, CA
  • NPI 1760677512
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  dba Total Vision Care Advanced Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063968980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23905 CLINTON KEITH RD STE 115",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23905 CLINTON KEITH RD STE 115",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957899",
            "telephone_number": "951-304-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31573 Rancho Pueblo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925924835",
            "country_code": "US",
            "telephone_number": "951-302-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33683TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexiee Cogan
• Carol Joy Cole, LCSW
• Joshua Colleasure
• Martin Jay Collen, M.D.
• Cassandra Collins, BCBA
• Bailey Christine Connors
• Leann Coppola
• Shanyia Corbin
• Raymund S Cordero, M.D.
• Starr Corrales

• Optometrist in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.