Jonathan James Joe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA 9905 T Issued in CA

Practice address

20687 Amar Rd Ste 6
Walnut, CA 91789-5045

Phone

(909) 468-9622

Fax

(909) 468-9230

NPI assigned

Oct 12, 2006

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

Other identifiers 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jonathan Joe O D a Professional Optometric Corporation

  • Optometrist
  • Walnut, CA
  • NPI 1346411063
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1316036908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20687 AMAR RD STE 6",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917895045",
            "telephone_number": "909-468-9622",
            "fax_number": "909-468-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20687 AMAR RD STE 6",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917895045",
            "telephone_number": "909-468-9622",
            "fax_number": "909-468-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA 9905 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0099050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jinfae Jeng, NP
• Fei Ji Sr., ACUPUNCTURIST
• Linda Martinez Jimenez, DDS
• Nicole Jin
• JKPD Enterprises LLC
• Stephen Joe
• Jonathan Joe O D a Professional Optometric Corporation
• JT Chen DDS Professional Corp
• Juan E Barros
• Kai Chang D.D.S., Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.