Jasmina Koprivica, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10353T Issued in CA

Practice address

120 N Indian Hill Blvd
Claremont, CA 91711-4607

Phone

(909) 621-3952

Fax

(909) 626-5260

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

Yes

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr B Kamkar, OD a Professional Optometry CorpGroup PAC ID 8921219932, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr B Kamkar OD a Professional Optometry Corp

  • Optometrist
  • Glendale, CA
  • NPI 1710190251
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1346211158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114607",
            "telephone_number": "909-621-3952",
            "fax_number": "909-626-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114607",
            "telephone_number": "909-621-3952",
            "fax_number": "909-626-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPRIVICA",
        "first_name": "JASMINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10353T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kitichai Rungcharassaeng DDS, Ms, and Howard Lee, DMD, Ms, Inc
• Christine Jennifer Knapp-Phillips, FNP
• Suzanne Gaudineer Knutzen, NP
• Nicole Ilanah Kohan, OD
• Thomas Christopher Kono-Flores, D.D.S.
• Mary Kathleen Krater, M.A., CCC-SLP
• Ava Kung, DDS
• Joshua Kusumo, D.D.S
• Mukesh Jayantilal Kuvadia, PA
• Labtech Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.