Individual provider Active NPI

John Jacob Krochmal IV, OD

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1942824503
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34564 Issued in CA
Practice address
3855 State St
Santa Barbara, CA 93105-3152
Phone
(805) 682-5799
Fax
(805) 682-0735
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34564 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3855 State St
Santa Barbara, CA 93105-3152

Mailing address

174 Siesta Ave
Thousand Oaks, CA 91360-1816
Phone (805) 231-0877

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
I20200820000664 CA Practitioner - Optometry 3274959382 Practice locations: Camarillo, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Krochmal O.D. Inc. Optometrist Current Accepting new patients

Locations

3855 State St
Santa Barbara, CA 93105
Phone (805) 231-0877

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1942824503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 SIESTA AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601816",
            "telephone_number": "805-231-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053152",
            "telephone_number": "805-682-5799",
            "fax_number": "805-682-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCHMAL",
        "first_name": "JOHN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34564",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.