DR. JEFFREY CONNOR (O.D.) – Optometrist, NPI 1063968980

DR. JEFFREY CONNOR (O.D.) is a healthcare provider. based in Wildomar, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT33683TLG (CA). The NPI Number for DR. JEFFREY CONNOR (O.D.) is 1063968980

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY CONNOR (O.D.)
NPI
1063968980
Phone
Not provided
Address
23905 CLINTON KEITH RD STE 115
Enumeration Date
31 August 2016
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098613737
Graduation Year
2016 (10 years ago)
PAC ID
9931452703
Group Practice PAC ID
9234472242
Professional Enrollment ID
I20181024001141
Address ID
CA917651038DI718XXBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. JEFFREY CONNOR (O.D.)

  • 23905 CLINTON KEITH RD STE 115

    WILDOMAR, CA 925957899

    Phone:

    Type: Mailing

  • 31573 Rancho Pueblo Rd Ste 101

    Temecula, CA 925924835

    Phone: (951) 302-5580

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $711.

Total Amount is formed as General ($711) + Research ($0) + Ownership ($0) = $711.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($371).

Total Amount

$711

General + Research + Ownership

Payments

10

Total payment records

General Amount

$711

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181024001141IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92595)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234472242View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YMA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Can I verify DR. JEFFREY CONNOR (O.D.) with an NPI only?
You can start verification with NPI 1063968980 for DR. JEFFREY CONNOR (O.D.), then check state licensing separately.
Can I rely on DR. JEFFREY CONNOR (O.D.) being an active provider?
As of the registry snapshot, DR. JEFFREY CONNOR (O.D.) is marked active.
What healthcare role does DR. JEFFREY CONNOR (O.D.) hold?
Scheduling teams often label DR. JEFFREY CONNOR (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. JEFFREY CONNOR (O.D.) based?
DR. JEFFREY CONNOR (O.D.) is tied to Wildomar, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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