Active NPI
Joanne L Nassar, O.D.
- Optometrist
- Riverside, CA
National Provider Identifier
1518035443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10941
- Practice address
- 6363 Valley Springs Pkwy
Riverside, CA 92507-0905 - Phone
- (725) 225-5161
- Fax
- (702) 319-2156
- NPI assigned
- Nov 30, 2006
- Last updated
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 433 | NV | |
| Optometrist | 152W00000X | 10941 | CA | Primary |
Addresses
Primary practice location
6363 Valley Springs Pkwy
Riverside, CA 92507-0905
Mailing address
6363 Valley Springs Pkwy
Riverside, CA 92507-0905
Phone (725) 225-5161
Other practice location 1
14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10941 | CA | MD | Optometrist |
| 433 | NV | MD | Optometrist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- joanne.nassar.p1@direct.atlantiseyecare.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1518035443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 VALLEY SPRINGS PKWY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070905",
"telephone_number": "725-225-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 VALLEY SPRINGS PKWY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070905",
"telephone_number": "725-225-5161",
"fax_number": "702-319-2156"
}
],
"practiceLocations": [
{
"address_1": "14726 Ramona Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917105730",
"country_code": "US",
"telephone_number": "626-305-9100",
"fax_number": "626-305-0152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASSAR",
"first_name": "JOANNE",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "433",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.