Active NPI
Judy Keiko Jobes, O.D.
- Optometrist
- Rancho Palos Verdes, CA
National Provider Identifier
1689721789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9504 T
- Practice address
- 28504 Seamount Dr
Rancho Palos Verdes, CA 90275-4752 - Phone
- (310) 541-2289
- NPI assigned
- Jan 4, 2007
- 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 | 9504 T | CA | Primary |
Addresses
Primary practice location
28504 Seamount Dr
Rancho Palos Verdes, CA 90275-4752
Mailing address
28504 Seamount Dr
Rancho Palos Verdes, CA 90275-4752
Phone (310) 541-2289
Other names 1
- Judy Keiko Inose
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 |
|---|---|---|---|
| 9504 T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Optometrist | Past | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Pearle Vision # C6021
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- Torrance, CA
- NPI 1497811483
Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1689721789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28504 SEAMOUNT DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902754752",
"telephone_number": "310-541-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28504 SEAMOUNT DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902754752",
"telephone_number": "310-541-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBES",
"first_name": "JUDY",
"middle_name": "KEIKO",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9504 T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "INOSE",
"middle_name": "KEIKO",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.