Individual provider Active NPI

Jonathan Hill, O.D.

  • Optometrist
  • Redding, CA
National Provider Identifier
1093879470
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11061T Issued in CA
Practice address
909 Dana Dr
Ste 2G
Redding, CA 96003-4852
Phone
(530) 223-2240
Fax
(530) 223-2240
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 11061T CA
Pediatric Optometrist 152WP0200X 11061T CA
Sports Vision Optometrist 152WS0006X 11061T CA
Occupational Vision Optometrist 152WX0102X 11061T CA
Optometrist 152W00000X 11061T CA Primary

Addresses

Primary practice location

909 Dana Dr
Ste 2G
Redding, CA 96003-4852

Mailing address

909 Dana Dr
Ste 2G
Redding, CA 96003-4852
Phone (530) 223-2240

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
I20081121000258 CA Practitioner - Optometry 8325108277 Practice locations: Redding, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11061TCAMDOptometrist
11061CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Hill OD an Optometric Corporation Optometrist CurrentSince Oct 24, 2014 Accepting new patients

Locations

1300 Dana Dr
Redding, CA 96003
Phone (530) 222-8097

909 Dana Dr
Ste 2G
Redding, CA 96003
Phone (530) 223-2240

Organizations & group practices 1

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1093879470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 DANA DR",
            "address_2": "STE 2G",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034852",
            "telephone_number": "530-223-2240",
            "fax_number": "530-223-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DANA DR",
            "address_2": "STE 2G",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034852",
            "telephone_number": "530-223-2240",
            "fax_number": "530-223-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11061T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "11061T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "11061T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "11061T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11061T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.