John Archibald, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1177 Issued in AZ

Practice address

3953 W Stetson Ave
Hemet, CA 92545-9687

Phone

(951) 652-4343

Fax

(469) 914-9372

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Eye Specialists a Medical CorpGroup PAC ID 3375447964, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.53 of 100Reported as group

Quality

88.72

Promoting interoperability

99

Improvement activities

40

Cost

77.55

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: john.archibaldod.p3@direct.inlandeyespecialists.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Hemet, CA
  • NPI 1083622567

  Optometrist

  Medicare reassignment Care Compare group NPD
• Inland Eye Specialists a Medical Corp

  dba Inland Eye Specialists

  • Ophthalmology Physician
  • Murrieta, CA
  • NPI 1942235643

  Optometrist

  NPD
• Inland Eye Specialists, a Medical Corporation

  dba Inland Eye Specialists

  • Ophthalmology Physician
  • Beaumont, CA
  • NPI 1518615947

  Optometrist

  NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1902893357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 E FLORIDA AVE",
            "address_2": "SUITE 207",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444707",
            "telephone_number": "951-652-6100",
            "fax_number": "951-658-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459687",
            "telephone_number": "951-652-4343",
            "fax_number": "469-914-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-09-27",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.

Verify at the official NPI Registry.