Individual provider Active NPI

Chris Alan Jaron, O.D.

  • Optometrist
  • Avondale, AZ
National Provider Identifier
1689713034
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1417 Issued in AZ
Practice address
12725 W Indian School Rd Ste C104
Avondale, AZ 85392-9523
Phone
(623) 512-4052
Fax
(623) 512-4053
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1417 AZ Primary

Addresses

Primary practice location

12725 W Indian School Rd Ste C104
Avondale, AZ 85392-9523

Mailing address

12725 W Indian School Rd Ste C104
Avondale, AZ 85392-9523
Phone (623) 512-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050314000243 AZ Practitioner - Optometry 7012986797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12725 W Indian School Rd
C104
Avondale, AZ 85392-9523
Phone (623) 512-4052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2251OKMDPhysical Therapy Assistant
1417AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Jaron OD PC Optometrist CurrentSince Dec 1, 2004 Accepting new patients
Lyndon Graves, P.C. Optometrist Past Accepting new patients

Locations

12725 W Indian School Rd
Avondale, AZ 85392
Phone (602) 541-5790

12725 W Indian School Rd
Ste C104
Avondale, AZ 85392
Phone (623) 512-4052

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1689713034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE C104",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929523",
            "telephone_number": "623-512-4052",
            "fax_number": "623-512-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE C104",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929523",
            "telephone_number": "623-512-4052",
            "fax_number": "623-512-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARON",
        "first_name": "CHRIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.