Individual provider Active NPI

Joseph Ridenour, OD

  • Optometrist
  • Bishop, CA
National Provider Identifier
1811576192
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34789 Issued in CA
Practice address
293 Willow St
Bishop, CA 93514-2720
Phone
(760) 872-7511
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34789 CA Primary

Addresses

Primary practice location

293 Willow St
Bishop, CA 93514-2720

Mailing address

293 Willow St
Bishop, CA 93514-2720
Phone (760) 872-7511

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
I20210415001617 CA Practitioner - Optometry 0042628836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

5092 Warner Ave
Huntington Beach, CA 92649-4030
Phone (714) 846-2897

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samir a Shah MD Professional Corporation Optometrist CurrentSince Jan 17, 2022 Accepting new patients
Total Vision PC Optometrist CurrentSince Jan 16, 2024 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
James R Henslick,O.D. Professional Corporation Optometrist PastSince Apr 14, 2001 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Dominguez Alderson Optometric Inc Optometrist PastSince Sep 12, 2025 Accepting new patients

Locations

5092 Warner Ave
Huntington Beach, CA 92649
Phone (714) 816-4479

18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

27451 La Paz Rd
Ste B
Laguna Niguel, CA 92677
Phone (949) 643-2020

30030 Town Center Dr
Laguna Niguel, CA 92677
Phone (309) 825-3612

2650 Elm Ave
Ste 108
Long Beach, CA 90806
Phone (310) 427-5409

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

1190 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 431-2031

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1811576192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 WILLOW ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142720",
            "telephone_number": "760-872-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 WILLOW ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142720",
            "telephone_number": "760-872-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.