Jack D Groves, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4350 TPA Issued in CA

Practice address

4649 Planz Rd
Bakersfield, CA 93309-5900

Phone

(661) 833-4040

Fax

(661) 833-6721

NPI assigned

Mar 17, 2006

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

Other identifiers 1

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, 1960

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Eye Care Optometric Center IncGroup PAC ID 5991085292, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southwest Eye Care Optometric Center, Inc

  • Optometrist
  • Bakersfield, CA
  • NPI 1538517438
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1952370165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 PLANZ RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095900",
            "telephone_number": "661-833-4040",
            "fax_number": "661-833-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 PLANZ RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095900",
            "telephone_number": "661-833-4040",
            "fax_number": "661-833-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4350 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0043500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Grimm
• Karina Grinberg, MD
• Terrance Grinner
• Stacey A Grisham, O.T.
• Morgan Ashley Groff
• Janiece Grubbs, RNFA
• Edward H. Gruber, D.D.S.
• Amy Joanna Grundvig
• GS Medical Center, Inc.
• Janet Guajardo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.