Individual provider Active NPI

Jeannette Iriarte, O.D

  • Optometrist
  • Van Nuys, CA
National Provider Identifier
1720069644
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8747T Issued in CA
Practice address
13521 Sherman Way
Suite I
Van Nuys, CA 91405-2894
Phone
(818) 988-4450
Fax
(818) 988-4485
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8747T CA Primary

Addresses

Primary practice location

13521 Sherman Way
Suite I
Van Nuys, CA 91405-2894

Mailing address

13521 Sherman Way
Suite I
Van Nuys, CA 91405-2894
Phone (818) 988-4450

Other identifiers 1

IdentifierTypeStateIssuer
SD0087471MedicaidCA

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
I20061013000601 CA Practitioner - Optometry 8527064591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8747TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Optometry Center, Inc Optometrist CurrentSince Jul 15, 2010 Accepting new patients

Locations

13867 Foothill Blvd
Ste 108
Sylmar, CA 91342
Phone (818) 362-5888

13521 Sherman Way
Ste I
Van Nuys, CA 91405
Phone (818) 988-4450

13521 Sherman Way
Ste 1
Van Nuys, CA 91405
Phone (818) 988-4450

13521 Sherman Way
#1
Van Nuys, CA 91405
Phone (818) 988-4450

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720069644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY",
            "address_2": "SUITE I",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052894",
            "telephone_number": "818-988-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 SHERMAN WAY",
            "address_2": "SUITE I",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052894",
            "telephone_number": "818-988-4450",
            "fax_number": "818-988-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIARTE",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8747T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.