Organization Active NPI

Chris Jaron OD PC

  • Optometrist
  • Avondale, AZ
National Provider Identifier
1902945132
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1417 Issued in AZ
Legal business name
CHRIS JARON OD PC
Practice address
12725 W Indian School Rd Ste C104
Avondale, AZ 85392-9523
Phone
(623) 512-4052
Fax
(623) 512-4053
NPI assigned
Feb 5, 2007
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Chris Alan Jaron, O.D.NPI 1689713034
Title
President
Phone
(623) 512-4052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1417 AZ Primary

Addresses

Primary practice location

12725 W Indian School Rd Ste C104
Avondale, AZ 85392-9523

Mailing address

12725 W Indian School Rd Ste C104
Avondale, AZ 85392-9523
Phone (623) 512-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000415 AZ Part B Supplier - Clinic/Group Practice 0042264129 Receives reassigned benefits from 1 practitioner
Practice locations: Avondale, AZ

National Provider Directory

National Provider Directory

Locations

12725 W Indian School Rd
Avondale, AZ 85392
Phone (623) 207-7190

12725 W Indian School Rd
Ste C104
Avondale, AZ 85392
Phone (623) 512-4052

7123 N 138th Ave
Bldg 1552
Glendale, AZ 85307
Phone (623) 536-0332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1902945132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE C104",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929523",
            "telephone_number": "623-512-4052",
            "fax_number": "623-512-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE C104",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929523",
            "telephone_number": "623-512-4052",
            "fax_number": "623-512-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS JARON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "JARON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-512-4052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.