Individual provider Active NPI

Jonathan Garcia Julian, OD

  • Optometrist
  • Madison, WI
National Provider Identifier
1326564436
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3487-35 Issued in WI
Practice address
4237 Lien Rd Ste E
Madison, WI 53704-3686
Phone
(608) 819-0642
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3487-35 WI Primary

Addresses

Primary practice location

4237 Lien Rd Ste E
Madison, WI 53704-3686

Mailing address

1010 E. Washington Ave
Apt. 1012
Madison, WI 53703
Phone (408) 439-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210928000634 WI Practitioner - Optometry 8022415488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isthmus Eye Care SCGroup PAC ID 9032011002, 8 clinicians

Practice addresses (Care Compare)

6012 Gemini Dr
Madison, WI 53718-3008
Phone (608) 249-5548

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3487-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses Past Accepting new patients
University of South Alabama Health Care Authority PastSince Oct 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jogarcia@direct.revolutionehr.com

Organizations & group practices 3

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1326564436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E. WASHINGTON AVE",
            "address_2": "APT. 1012",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703",
            "telephone_number": "408-439-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 LIEN RD STE E",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043686",
            "telephone_number": "608-819-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA JULIAN",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3487-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.