Jonathan Avery Juarez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9739T Issued in TX

Practice address

4501 Joe Ramsey Blvd E Ste 110
Greenville, TX 75401-7838

Phone

(903) 454-1886

Fax

(903) 455-3055

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tso Marble Falls LLCGroup PAC ID 3779989678, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tso Marble Falls LLC

  • Optometrist
  • Marble Falls, TX
  • NPI 1508438276
  Medicare reassignment Care Compare group NPD
• John D. Coble

  • Medical Specialty Clinic/Center
  • Greenville, TX
  • NPI 1851403877

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1194386367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8457",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048457",
            "telephone_number": "903-454-1886",
            "fax_number": "903-455-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 JOE RAMSEY BLVD E STE 110",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017838",
            "telephone_number": "903-454-1886",
            "fax_number": "903-455-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JONATHAN",
        "middle_name": "AVERY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9739T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joan@eyecareofgreenville.com",
            "affiliation": "N",
            "address_1": "4501 Joe Ramsey Blvd E Ste 110",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754017838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlyn Jones, DC
• Gekita M Jordan, LPC
• Jason Terry Jordan, LPC
• Richard Jordan
• Jomy Jose, APRN, PMHNP-BC
• Barry L Justice, MD
• JW Eye Associates, PLLC
• JW Psychiatry PLLC
• Karen Kaden Andre, M.D.
• Gurjeet S Kalra, MD

• Optometrist in Greenville, TX
• Providers in Greenville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.