Active NPI
Joann Henwood, O.D.
- Optometrist
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33399
- Practice address
- 120 W Bonita Ave
Suite a
San Dimas, CA 91773-3085 - Phone
- (909) 599-1100
- NPI assigned
- Jun 21, 2016
- Last updated
- Sep 2, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33399 | CA | Primary |
Addresses
Primary practice location
120 W Bonita Ave
Suite a
San Dimas, CA 91773-3085
Mailing address
120 W Bonita Ave
Ste a
San Dimas, CA 91773-5000
Phone (909) 599-1100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12442 Limonite Ave
Unit 200
Eastvale, CA 91752-2467
Phone (951) 737-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 76.08
- Promoting interoperability
- 72
- Improvement activities
- 40
- Cost
- 75.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suzan Burmayan, O.D., a Professional Corporation | Optometrist | Current | Accepting new patients |
| Pacific Eye Institute a Medical Group Inc | Current | Accepting new patients | |
| Pacific Eye Institute, a Medical Group, Inc. | Current | Accepting new patients |
Locations
12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000
9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050
8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563
3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525
120 W Bonita Ave
Ste A
San Dimas, CA 91773
Phone (909) 599-1100
555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846
591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Upland, CA
- NPI 1962422709
-
- Ambulatory Surgical Clinic/Center
- Upland, CA
- NPI 1407932619
-
- Optometrist
- San Dimas, CA
- NPI 1245077155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1689024523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W BONITA AVE",
"address_2": "STE A",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735000",
"telephone_number": "909-599-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W BONITA AVE",
"address_2": "SUITE A",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733085",
"telephone_number": "909-599-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENWOOD",
"first_name": "JOANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.