Individual provider Active NPI

Jason R Greiner, O.D.

  • Optometrist
  • Yorba Linda, CA
National Provider Identifier
1417210493
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14396 Issued in CA
Practice address
4945 Yorba Ranch Rd Ste E
Yorba Linda, CA 92887-2553
Phone
(714) 692-2063
NPI assigned
Jun 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 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 14396 CA Primary

Addresses

Primary practice location

4945 Yorba Ranch Rd Ste E
Yorba Linda, CA 92887-2553

Mailing address

11502 La Cima Dr
Whittier, CA 90604-3205
Phone (562) 665-6939

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
I20121116000322 CA Practitioner - Optometry 3870744063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Eye GroupGroup PAC ID 0446287361, 7 clinicians

Practice addresses (Care Compare)

19671 Beach Blvd
Suite 400
Huntington Beach, CA 92648-5901

19671 Beach Blvd
Suite 400
Huntington Beach, CA 92648-5930
Phone (714) 842-0651

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
86.42
Improvement activities
40
Cost
72.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14396CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Group Optometrist CurrentSince Mar 1, 2020 Accepting new patients
John C. Spaeth O.D. Optometrist Past Accepting new patients

Locations

19671 Beach Blvd
Ste 400
Huntington Beach, CA 92648
Phone (714) 842-0651

Organizations & group practices 2

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": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1417210493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 LA CIMA DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906043205",
            "telephone_number": "562-665-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 YORBA RANCH RD STE E",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872553",
            "telephone_number": "714-692-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREINER",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.