Individual provider Active NPI

Steven Scott Jio, OD

  • Optometrist
  • Los Osos, CA
National Provider Identifier
1508856386
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6703TPA Issued in CA
Practice address
2098 9TH St
Ste a
Los Osos, CA 93402-3239
Phone
(805) 528-2237
NPI assigned
Oct 24, 2005
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6703TPA CA Primary

Addresses

Primary practice location

2098 9TH St
Ste a
Los Osos, CA 93402-3239

Mailing address

PO Box 6336
Los Osos, CA 93412-6336
Phone (805) 528-2237

Other identifiers 1

IdentifierTypeStateIssuer
500067030MedicaidCA

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
I20100610000999 CA Practitioner - Optometry 9032249412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary L Englund OD ApcGroup PAC ID 8628012697, 7 clinicians

Practice addresses (Care Compare)

2231 Bayview Heights Dr
Los Osos, CA 93402-3900
Phone (805) 528-5333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT6703TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L. Englund, OD, Apc Optometrist CurrentSince Jun 20, 2016 Accepting new patients
Gary L. Englund, OD, Apc Optometrist CurrentSince Jun 20, 2016 Accepting new patients

Locations

2231 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-5333

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1508856386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6336",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934126336",
            "telephone_number": "805-528-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 9TH ST",
            "address_2": "STE A",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023239",
            "telephone_number": "805-528-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIO",
        "first_name": "STEVEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6703TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500067030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Osos, CA

Sources for this page

Verify at the official NPI Registry.