Jon E Fitzpatrick, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

7949T Issued in CA

Practice address

2655 Cleveland Ave Ste a
Santa Rosa, CA 95403-2779

Phone

(707) 545-7350

Fax

(707) 546-7787

NPI assigned

Oct 14, 2005

Last updated

Dec 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Vision Group IncGroup PAC ID 0244596369, 2 clinicians

Practice addresses (Care Compare)

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

• Advanced Vision Group, Inc.

  dba Advanced Vision Optometry

  • Optometrist
  • Santa Rosa, CA
  • NPI 1790200624
  Medicare reassignment Care Compare group
• Nancy Park OD, Inc

  dba Park Optometry

  • Optometrist
  • Ukiah, CA
  • NPI 1275319485
  Medicare reassignment NPD
• Eos Eyecare Optometric Group

  • Optometrist
  • Santa Rosa, CA
  • NPI 1013320472
  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640390400000",
    "number": "1356330278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CLEVELAND AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032779",
            "telephone_number": "707-545-7350",
            "fax_number": "707-546-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 CLEVELAND AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032779",
            "telephone_number": "707-545-7350",
            "fax_number": "707-546-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7949T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie L Fisher, CATC I
• Kathy Lynn Fisher, MFT
• Patrick Arin Fisher, PHARM.D.
• Scott W. Fisher, MD
• Geraldine Fitzgerald, CMT
• Mary Corsina Fiumara, LCSW
• Katherine Flanagan
• Betsy J. Flannery
• Bichchan Fleming, RN
• Catherine Fletcher

• Corneal and Contact Management Optometrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; 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.