Individual provider Active NPI

Jarom B. Partridge, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1306213046
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 15343 TLG Issued in CA
Practice address
781 S Weir Canyon Rd Ste 195
Anaheim, CA 92808-1965
Phone
(714) 282-2888
NPI assigned
Aug 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 15343 TLG CA Primary

Addresses

Primary practice location

781 S Weir Canyon Rd Ste 195
Anaheim, CA 92808-1965

Mailing address

781 S Weir Canyon Rd Ste 195
Anaheim, CA 92808-1965
Phone (714) 282-2888

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
I20240503001036 CA Practitioner - Optometry 7517260052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

781 S Weir Canyon Rd
Suite 195
Anaheim, CA 92808-1965
Phone (714) 282-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 15343 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jarom Partridge OD Inc Optometrist CurrentSince Feb 18, 2024 Accepting new patients
Rebecca M. Maravilla, OD, Inc. Optometrist PastSince Dec 10, 2023 Accepting new patients

Locations

781 S Weir Canyon Rd
Ste 195
Anaheim, CA 92808
Phone (714) 282-2888

Interoperability endpoints

  • Direct secure messaging: partridge@jbpartridgeod.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1306213046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 S WEIR CANYON RD STE 195",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081965",
            "telephone_number": "714-282-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S WEIR CANYON RD STE 195",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081965",
            "telephone_number": "714-282-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "JAROM",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 15343 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.