Jay Mitchell Wofchuck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6838T Issued in CA

Practice address

3179 Hamner Ave
Suite 1
Norco, CA 92860-1983

Phone

(951) 734-4802

Fax

(951) 734-3035

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Norco Hamner Optometry, Inc

  • Optometrist
  • Norco, CA
  • NPI 1891348637
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1114006319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 HAMNER AVE",
            "address_2": "SUITE 1",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601983",
            "telephone_number": "951-734-4802",
            "fax_number": "951-734-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 HAMNER AVE",
            "address_2": "SUITE 1",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601983",
            "telephone_number": "951-734-4802",
            "fax_number": "951-734-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFCHUCK",
        "first_name": "JAY",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6838T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0068380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Whittle, PT, DPT
• Leah Lorraine Wildey, ED.S., PPS
• Mindy Marie Williams, LMT, CMT
• Doris Lorraine Wilson, NP
• Lonnie D Winkler, RN
• Katie Wong
• Nancy Woo
• Kalpana Yadav
• Kelly Yi, DPT
• Janet Yoon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.