Individual provider Active NPI

John Paul Militar, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1457902363
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34385-TLG Issued in CA
Practice address
20 W Shaw Ave
Fresno, CA 93704-2816
Phone
(845) 682-8310
NPI assigned
Sep 23, 2019
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34385-TLG CA Primary

Addresses

Primary practice location

20 W Shaw Ave
Fresno, CA 93704-2816

Mailing address

3660 W San Jose Ave Apt 107
Fresno, CA 93711-6618
Phone (845) 682-8310

Other practice location 1

3530 S Mooney Blvd
Visalia, CA 93277-7774
Phone (559) 302-9819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT34385-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Macarius, Max & Daniel, LLC Optometrist CurrentSince Feb 21, 2021 Accepting new patients

Locations

3530 S Mooney Blvd
Visalia, CA 93277
Phone (559) 302-9819

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, 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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1457902363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 W SAN JOSE AVE APT 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116618",
            "telephone_number": "845-682-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042816",
            "telephone_number": "845-682-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 S Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932777774",
            "country_code": "US",
            "telephone_number": "559-302-9819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILITAR",
        "first_name": "JOHN PAUL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34385-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.