Active NPI
Joseph Ridenour, OD
- Optometrist
- Bishop, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34789
- 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
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 | 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samir a Shah MD Professional Corporation | Optometrist | Current | Accepting new patients |
| Total Vision PC | Optometrist | Current | 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 | Past | Accepting new patients |
| Seal Beach Eyes Optometry Inc | Optometrist | Past | Accepting new patients |
| Dominguez Alderson Optometric Inc | Optometrist | Past | 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.
-
dba Beach Eye Medical Group
- Ophthalmology Physician
- Huntington Beach, CA
- NPI 1700197365
Optometrist
-
- Optometrist
- Bishop, CA
- NPI 1063574044
-
- Optometrist
- Lake Forest, CA
- NPI 1922399864
-
- Optometrist
- Laguna Niguel, CA
- NPI 1770559874
-
- Optometrist
- Seal Beach, CA
- NPI 1124171566
-
dba Total Vision Care Advanced Optometry
- Optometrist
- San Diego, CA
- NPI 1861529703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.