Active NPI
Jasmeet Kaur Mann, O.D.
- Optometrist
- Ceres, CA
National Provider Identifier
1760736680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14549
- Practice address
- 1901 Mitchell Rd Ste C
Ceres, CA 95307 - Phone
- (209) 537-8971
- Fax
- (209) 537-8974
- NPI assigned
- Oct 30, 2012
- 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 | 14549 | CA | Primary |
Addresses
Primary practice location
1901 Mitchell Rd Ste C
Ceres, CA 95307
Mailing address
PO Box 186
Ceres, CA 95307-0186
Phone (209) 537-8971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5033839 | Medicaid | CA | |
| DB428A | Other | CA | MEDICARE GROUP PTAN |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1901 Mitchell Rd
Suite C
Ceres, CA 95307-2400
Phone (209) 537-8971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14549 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ceres Eye Care Inc a Professional Optometric Corporation | Optometrist | Current | Accepting new patients |
Locations
1901 Mitchell Rd
Ste C
Ceres, CA 95307
Phone (209) 537-8971
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.
-
- Optometrist
- Ceres, CA
- NPI 1295374700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1760736680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "CERES",
"state": "CA",
"postal_code": "953070186",
"telephone_number": "209-537-8971",
"fax_number": "209-537-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MITCHELL RD STE C",
"city": "CERES",
"state": "CA",
"postal_code": "95307",
"telephone_number": "209-537-8971",
"fax_number": "209-537-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JASMEET",
"middle_name": "KAUR",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5033839",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "DB428A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.