Individual provider Active NPI

Janae Leanne Vance, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1376642967
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13086TLG Issued in CA
Practice address
4649 Planz Rd
Bakersfield, CA 93309-5900
Phone
(661) 833-4040
Fax
(661) 833-6721
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13086TLG CA Primary

Addresses

Primary practice location

4649 Planz Rd
Bakersfield, CA 93309-5900

Mailing address

13908 Westbury Ave.
Bakersfield, CA 93314
Phone (714) 458-6744

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081215000048 CA Practitioner - Optometry 9032271739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Eye Care Optometric Center IncGroup PAC ID 5991085292, 4 clinicians

Practice addresses (Care Compare)

4649 Planz Rd
Bakersfield, CA 93309-5900
Phone (661) 833-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13086TLGCAMDOptometrist
13086CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eye Care Optometric Center, Inc Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Golden State Eye Medical Group Inc Optometrist PastSince Jan 26, 2003 Accepting new patients
Scripps Health Past Accepting new patients

Locations

4649 Planz Rd
Bakersfield, CA 93309
Phone (661) 833-4040

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1376642967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 WESTBURY AVE.",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93314",
            "telephone_number": "714-458-6744",
            "fax_number": "661-327-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 PLANZ RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095900",
            "telephone_number": "661-833-4040",
            "fax_number": "661-833-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JANAE",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13086TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.