Jonathan James Creech, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33734TLG Issued in CA

Practice address

41257 Magarita Road
Suite B 103
Temecula, CA 92591

Phone

(951) 587-2333

Fax

(951) 587-2335

NPI assigned

Jul 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jonathan James Creech Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• James E Creech

  • Optometrist
  • Temecula, CA
  • NPI 1114101003
  NPD (past)
• Komm Medical Eye & Vision Group, LTD.

  • Optometrist
  • Bethesda, MD
  • NPI 1164582441
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1386166395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25439 BLACKTHORNE DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41257 MAGARITA ROAD",
            "address_2": "SUITE B 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-587-2333",
            "fax_number": "951-587-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33734TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "CREECH",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sara Marie Crahan
• Cranial Technologies, Inc.
• Mary Kay Crawford, R.N.
• Creating Smiles Dental Office
• James E Creech, O.D.
• Debbie Maxine Crenshaw V
• Crescent Hospice and Palliative Care Inc
• Jamie Cripe
• Leola E Crissman
• Ashlee Marie Cristinziani

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.