Individual provider Active NPI

Rex Arthur Werner, O.D.

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1891760716
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9378TPL Issued in CA
Practice address
2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319
Phone
(619) 670-6296
Fax
(619) 670-8852
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9378TPL CA Primary

Addresses

Primary practice location

2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319

Mailing address

2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319
Phone (619) 670-6296

Other identifiers 1

IdentifierTypeStateIssuer
SD0093780MedicaidCA

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
I20040903000544 CA Practitioner - Optometry 4082680798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rex Aaron Werner OD, IncGroup PAC ID 6103105333, 5 clinicians

Practice addresses (Care Compare)

2650 Jamacha Rd
Suite 155
El Cajon, CA 92019-4319
Phone (619) 670-6296

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT9378TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Aaron Werner OD, Inc Optometrist CurrentSince Jan 1, 2017 Accepting new patients

Locations

2650 Jamacha Rd
Ste 155
El Cajon, CA 92019
Phone (619) 670-6296

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1891760716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JAMACHA RD",
            "address_2": "SUITE 155",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194319",
            "telephone_number": "619-670-6296",
            "fax_number": "619-670-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JAMACHA RD",
            "address_2": "SUITE 155",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194319",
            "telephone_number": "619-670-6296",
            "fax_number": "619-670-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "REX",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9378TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0093780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.