Individual provider Active NPI

Jeffrey Garcia, OPTOMETRIST

  • Optometrist
  • Lemoore, CA
National Provider Identifier
1699782516
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10197T Issued in CA
Practice address
162 W D Street
Lemoore, CA 93245
Phone
(559) 924-4417
Fax
(559) 924-3942
NPI assigned
Aug 2, 2006
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10197T CA Primary

Addresses

Primary practice location

162 W D Street
Lemoore, CA 93245

Mailing address

162 W D Street
Lemoore, CA 93245
Phone (559) 924-4417

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
I20120227000533 CA Practitioner - Optometry 8527226299 Receives reassigned benefits from 6 practitioners
Practice locations: Lemoore, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

162 W D St
Lemoore, CA 93245-2938
Phone (559) 924-4417

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10197TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Foot and Ankle CurrentSince Feb 27, 2012 Accepting new patients
Visalia Family Eye Care Optometry PC Optometrist Current Accepting new patients

Locations

162 W D St
Lemoore, CA 93245
Phone (559) 924-4417

5501 W Hillsdale Ave
Ste D
Visalia, CA 93291
Phone (559) 625-5464

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1699782516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W D STREET",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "93245",
            "telephone_number": "559-924-4417",
            "fax_number": "559-924-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W D STREET",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "93245",
            "telephone_number": "559-924-4417",
            "fax_number": "559-924-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10197T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.