Active NPI
John J Yohannes, CALIFORNIA LICENSE D
- Optician
- Visalia, CA
National Provider Identifier
1174738801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D1609
- Practice address
- 114 West Main Street
Suite D
Visalia, CA 93291 - Phone
- (559) 734-2020
- Fax
- (559) 734-5051
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | D1609 | CA | Primary |
Addresses
Primary practice location
114 West Main Street
Suite D
Visalia, CA 93291
Mailing address
114 West Main Street
Suite D
Visalia, CA 93291
Phone (559) 734-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ74844Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1609 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174738801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WEST MAIN STREET",
"address_2": "SUITE D",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-734-2020",
"fax_number": "559-734-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WEST MAIN STREET",
"address_2": "SUITE D",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-734-2020",
"fax_number": "559-734-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOHANNES",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CALIFORNIA LICENSE D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D1609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ74844Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.