Jonathan Joe O D a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

9905 Issued in CA

Legal business name

JONATHAN JOE O D A PROFESSIONAL OPTOMETRIC CORPORATION

Practice address

20687 Amar Rd Ste 6
Walnut, CA 91789-5045

Phone

(909) 468-9622

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan James Joe, ODNPI 1316036908

Title

President

Phone

(909) 468-9622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan James Joe, O.D.

  • Optometrist
  • Walnut, CA
  • NPI 1316036908
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1346411063",
    "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": "917895035",
            "telephone_number": "909-468-9622"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN JOE O D A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-468-9622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0099050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Martinez Jimenez, DDS
• Nicole Jin
• JKPD Enterprises LLC
• Jonathan James Joe, O.D.
• Stephen Joe
• JT Chen DDS Professional Corp
• Juan E Barros
• Kai Chang D.D.S., Inc.
• Taylor Joy Kalinowski
• Henry Kan, D.C.

• 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 Dec 26, 2025; 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.