Individual provider Active NPI

Jeffrey Stanley Duncan, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1407846207
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10884T Issued in CA
Practice address
3620 S Bristol St
Suite 101
Santa Ana, CA 92704-7300
Phone
(714) 557-7373
Fax
(714) 557-2390
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10884T CA Primary

Addresses

Primary practice location

3620 S Bristol St
Suite 101
Santa Ana, CA 92704-7300

Mailing address

18 Pinebrook
Irvine, CA 92618-4036
Phone (949) 552-1297

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
I20101013000195 CA Practitioner - Optometry 9931120508 Reassigns benefits to 1 organization
Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aa Optometric Group IncGroup PAC ID 8224404140, 3 clinicians

Practice addresses (Care Compare)

3500 S Bristol St
Suite 202
Santa Ana, CA 92704-7306
Phone (714) 557-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10884TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Optometric Group Inc Optometrist CurrentSince Dec 22, 2024 Accepting new patients

Locations

3500 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (714) 557-7800

Organizations & group practices 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1407846207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PINEBROOK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184036",
            "telephone_number": "949-552-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047300",
            "telephone_number": "714-557-7373",
            "fax_number": "714-557-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JEFFREY",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10884T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.