Jarom Partridge OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAROM PARTRIDGE OD INC

Practice address

781 South Weir Canyon Drive #195
Anaheim Hills, CA 92808

Phone

(714) 282-2888

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jarom Bennion Partridge, O.D.NPI 1306213046

Title

President

Phone

(714) 282-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarom B. Partridge, O.D.

  • Optometrist
  • Anaheim, CA
  • NPI 1306213046
  Medicare reassignment NPD Authorized official
• Anne C Kang, O.D.

  • Optometrist
  • National City, CA
  • NPI 1780727875
  NPD (past)
• Rebecca Marcia Maravilla, OD

  • Optometrist
  • Anaheim Hills, CA
  • NPI 1437271582
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1346029675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 SOUTH WEIR CANYON DRIVE #195",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-282-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SOUTH WEIR CANYON DRIVE #195",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-282-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAROM PARTRIDGE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "JAROM",
        "authorized_official_middle_name": "BENNION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-282-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OPT1543TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Greasby, ASSOCIATE MFT
• Richard Grenier, D.P.M.
• Janee Nichole Harris
• Health Group Psychological Services Inc
• Deborah L. Hill, MD
• Gary Michael Lovcik, O.D.
• Kelsey Lullo, M.A., APCC
• Marigangaiah Mahadev, MD
• Marathon Medical Group Inc
• Rebecca Marcia Maravilla, OD

• Optometrist in Anaheim Hills, CA
• Providers in Anaheim Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.