Individual provider Active NPI

Jannet L Calvert, O.D.

  • Optometrist
  • Richland, WA
National Provider Identifier
1326190430
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3180 Issued in WA
Practice address
214 Torbett St Ste a
Richland, WA 99354-2651
Phone
(509) 946-1999
Fax
(509) 946-9969
NPI assigned
Jan 17, 2007
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3180 WA Primary

Addresses

Primary practice location

214 Torbett St Ste a
Richland, WA 99354-2651

Mailing address

214 Torbett St Ste a
Richland, WA 99354-2651
Phone (509) 946-1999

Other identifiers 1

IdentifierTypeStateIssuer
2025872MedicaidWA

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3180WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
R & J Young Enterprises Inc PastSince Jun 1, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1326190430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 TORBETT ST STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542651",
            "telephone_number": "509-946-1999",
            "fax_number": "509-946-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 TORBETT ST STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542651",
            "telephone_number": "509-946-1999",
            "fax_number": "509-946-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "JANNET",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025872",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.