Joe a Vargas O D Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

10744T Issued in CA

Legal business name

JOE A VARGAS O D PROFESSIONAL CORPORATION

Practice address

789 S Dora St
Ukiah, CA 95482-5335

Phone

(707) 462-8363

Fax

(707) 462-8366

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joe A. Vargas, O.D.NPI 1407910375

Title

President

Phone

(707) 462-8363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe A. Vargas, O.D.

  • Optometrist
  • Ukiah, CA
  • NPI 1407910375
  Medicare reassignment Care Compare group NPD Authorized official
• Antonio Moran, O.D.

  • Optometrist
  • Richmond, CA
  • NPI 1114078607
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1841592052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825335",
            "telephone_number": "707-462-8363",
            "fax_number": "707-462-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825335",
            "telephone_number": "707-462-8363",
            "fax_number": "707-462-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE A VARGAS O D PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2022-10-25",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-462-8363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10744T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Jaynes, MFC 23642
• Matthew Jeffers, DDS
• Alese Jenkins
• Paul Jepson, M.D.
• Jodi Todd Rdhap, Inc.
• John P. Valentic, M.D. PC, a Medical Corporation
• Nicole Jennifer Johns, LMFT
• Carrie Lee Johnson
• Deja Johnson
• Edward Arthur Johnson, D.D.S.

• Optometrist in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.