Individual provider Active NPI

Jeffrey K Luttrull, M.D

  • Ophthalmology Physician
  • Ventura, CA
National Provider Identifier
1477573319
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
770344068 Issued in CA
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

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
770344068OtherCACALIFORNIA LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101006000667 CA Practitioner - Ophthalmology 6305038860 Reassigns benefits to 2 organizations
I20220411001798 FL Practitioner - Ophthalmology 6305038860 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
98.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Protection Institute of Beverly Hills Inc Ophthalmology CurrentSince Aug 16, 2021 Accepting new patients
Vpi Villages Inc Ophthalmology CurrentSince Feb 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.