Individual provider Active NPI

Jon Emberland, OD

  • Optometrist
  • Rancho Mirage, CA
National Provider Identifier
1972606424
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12197T Issued in CA
Practice address
72057 Dinah Shore Dr
Suite D
Rancho Mirage, CA 92270-1791
Phone
(760) 340-3937
Fax
(760) 340-1940
NPI assigned
Sep 7, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12197T CA Primary

Addresses

Primary practice location

72057 Dinah Shore Dr
Suite D
Rancho Mirage, CA 92270-1791

Mailing address

72057 Dinah Shore Dr
Suite D
Rancho Mirage, CA 92270-1791
Phone (760) 340-3937

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
I20051005001245 CA Practitioner - Optometry 1951326263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

41990 Cook St BLDG E
Suite 502
Palm Desert, CA 92211-6102
Phone (760) 834-3382

72057 Dinah Shore Dr
Suite D
Rancho Mirage, CA 92270-1791
Phone (760) 340-3937

78560 Hwy 111
La Quinta, CA 92253-2067
Phone (760) 564-3887

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
85.08
Improvement activities
40
Cost
75.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12197TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milauskas Eye Institute Medical Group II Inc Optometrist CurrentSince Aug 22, 2005 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Optometrist CurrentSince Aug 22, 2005 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Optometrist Current Accepting new patients

Locations

78560 Highway 111
La Quinta, CA 92253
Phone (760) 564-3887

41990 Cook St
Ste 502
Palm Desert, CA 92211
Phone (760) 340-3937

41990 Cook St
Ste E502
Palm Desert, CA 92211
Phone (760) 834-3382

139 S Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-6326

72057 Dinah Shore Dr
Ste D
Rancho Mirage, CA 92270
Phone (760) 340-3937

Interoperability endpoints

  • Direct secure messaging: jon.emberland.p1@direct.milauskas.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1972606424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72057 DINAH SHORE DR",
            "address_2": "SUITE D",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701791",
            "telephone_number": "760-340-3937",
            "fax_number": "760-340-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72057 DINAH SHORE DR",
            "address_2": "SUITE D",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701791",
            "telephone_number": "760-340-3937",
            "fax_number": "760-340-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBERLAND",
        "first_name": "JON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12197T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.