Active NPI
Jeffrey K Luttrull, M.D
- Ophthalmology Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 770344068
- Practice address
- 3160 Telegraph Rd.
#230
Ventura, CA 93003-3233 - Phone
- (805) 650-0664
- Fax
- (805) 650-0865
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 770344068 | CA | Primary |
Addresses
Primary practice location
3160 Telegraph Rd.
#230
Ventura, CA 93003-3233
Mailing address
3160 Telegraph Rd.
#230
Ventura, CA 93003-3233
Phone (805) 650-0664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770344068 | Other | CA | CALIFORNIA LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Southern California Keck School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3160 Telegraph Rd
Suite 230
Ventura, CA 93003-3252
Phone (805) 650-0664
9777 Wilshire Blvd
Suite 910
Beverly Hills, CA 90212-1902
Phone (424) 303-7160
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.34 of 100
- Quality
- 98.69
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Protection Institute of Beverly Hills Inc | Ophthalmology | Current | Accepting new patients |
| Vpi Villages Inc | Ophthalmology | Current | Accepting new patients |
| Dignity Health | Ophthalmology | Past | Accepting new patients |
Locations
9777 Wilshire Blvd
Ste 910
Beverly Hills, CA 90212
Phone (424) 303-7160
3160 Telegraph Rd
Ste 230
Ventura, CA 93003
Phone (805) 650-0664
708 Goodlette Rd
Naples, FL 34102
Phone (239) 291-7005
8564 E County Road 466
Ste 201
The Villages, FL 32162
Phone (352) 329-3838
Interoperability endpoints
- jluttrull@vpifl.intellechartdirect.net
Organizations & group practices 4
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.
-
- Retina Specialist (Ophthalmology) Physician
- Beverly Hills, CA
- NPI 1548937402
-
- Retina Specialist (Ophthalmology) Physician
- The Villages, FL
- NPI 1982357182
-
- Preferred Provider Organization
- Ventura, CA
- NPI 1003084674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1477573319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 TELEGRAPH RD.",
"address_2": "#230",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033233",
"telephone_number": "805-650-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 TELEGRAPH RD.",
"address_2": "#230",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033233",
"telephone_number": "805-650-0664",
"fax_number": "805-650-0865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTRULL",
"first_name": "JEFFREY",
"middle_name": "K",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "770344068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENCE",
"identifier": "770344068",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.