Individual provider Active NPI

Jonathan Mark Stein, O.D.

  • Optometrist
  • Manhattan Beach, CA
National Provider Identifier
1447413026
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13503 Issued in CA
Practice address
3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469
Phone
(310) 546-5568
NPI assigned
Jul 3, 2008
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13503 CA Primary

Addresses

Primary practice location

3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469

Mailing address

3200 N Sepulveda Blvd Ste E4
Manhattan Beach, CA 90266-2469
Phone (310) 546-5568

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
I20101021000724 CA Practitioner - Optometry 1951594035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13503CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince Oct 22, 2023 Accepting new patients
Sheldon M. Golden OD Optometric Corporation Optometrist Past Accepting new patients

Locations

201 E Magnolia Blvd
Ste 261
Burbank, CA 91502
Phone (818) 841-2393

3200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 488-0500

3200 N Sepulveda Blvd
Ste E4
Manhattan Beach, CA 90266
Phone (310) 546-5568

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1447413026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD STE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662469",
            "telephone_number": "310-546-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N SEPULVEDA BLVD STE E4",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662469",
            "telephone_number": "310-546-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.