Individual provider Active NPI

Joyce Ibanez

  • Optometrist
  • Turlock, CA
National Provider Identifier
1518304336
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14627 Issued in CA
Practice address
2010 W Monte Vista Ave
Turlock, CA 95382-9664
Phone
(209) 667-1213
NPI assigned
Jun 3, 2013
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 14627 CA Primary

Addresses

Primary practice location

2010 W Monte Vista Ave
Turlock, CA 95382-9664

Mailing address

2010 W Monte Vista Ave
Turlock, CA 95382-9664
Phone (209) 667-1213

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
I20140702002095 CA Practitioner - Optometry 4082839238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family OptometryGroup PAC ID 6507293115, 2 clinicians

Practice addresses (Care Compare)

2010 W Monte Vista Ave
Turlock, CA 95382-9664
Phone (209) 667-1213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Optometry Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Advanced Eyecare Associates Inc Optometrist Past Accepting new patients

Locations

2010 W Monte Vista Ave
Turlock, CA 95382
Phone (209) 667-1213

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1518304336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829664",
            "telephone_number": "209-667-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829664",
            "telephone_number": "209-667-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.