JONATHAN JAMES JOE (O.D.) – Optometrist, NPI 1316036908

JONATHAN JAMES JOE (O.D.) is a healthcare provider. based in Walnut, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. CA 9905 T (CA). The NPI Number for JONATHAN JAMES JOE (O.D.) is 1316036908

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN JAMES JOE (O.D.)
NPI
1316036908
Phone
(909) 468-9622
Address
20687 AMAR RD STE 6
Enumeration Date
12 October 2006
Last Update Date
13 June 2008

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
6709072812
Professional Enrollment ID
I20101130001332
Address ID
CA917895045Wa20687RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for JONATHAN JAMES JOE (O.D.)

  • Amar Road, Walnut, Los Angeles County, California, 91789, United States

    WALNUT, CA 917895045

    Phone: (909) 468-9622

    Fax: (909) 468-9230

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-30

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
I20101130001332IOptometryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2423$0
92004New patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 91789)

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Reviews

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Frequently asked questions

How is JONATHAN JAMES JOE (O.D.) identified in CMS data?
CMS-hosted NPPES data lists JONATHAN JAMES JOE (O.D.) with NPI 1316036908.
Can I rely on JONATHAN JAMES JOE (O.D.) being an active provider?
As of the registry snapshot, JONATHAN JAMES JOE (O.D.) is marked active.
What is JONATHAN JAMES JOE (O.D.)'s specialty?
The listing groups JONATHAN JAMES JOE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN JAMES JOE (O.D.) on a map?
Expect Walnut, California as a primary anchor for JONATHAN JAMES JOE (O.D.) unless the record lists multiple sites.
Why does JONATHAN JAMES JOE (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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