DR. JON E FITZPATRICK O.D.
NPI 1356330278
Optometrist - Corneal and Contact Management in Santa Rosa, CA

Q: What is Jon Fitzpatrick's NPI number?

The NPI number for Jon Fitzpatrick is 1356330278. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Jon Fitzpatrick's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Jon Fitzpatrick was last updated on December 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment

2655 CLEVELAND AVE STE A, SANTA ROSA, CA 95403(707) 545-7350(707) 546-7787 Get Directions Write a Review

NPPES record last updated: December 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jon E Fitzpatrick O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON E FITZPATRICK O.D. (NPI 1356330278) is an individual corneal and contact management provider in Santa Rosa, California, licensed in California (7949T) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1356330278

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. JON E FITZPATRICKCredential: O.D.

Location Address2655 CLEVELAND AVE STE ASanta Rosa, CA 95403-2779

Mailing Address2655 Cleveland Ave Ste ASanta Rosa, CA 95403-2779 · (707) 545-7350 · Fax (707) 546-7787

Phone(707) 545-7350

Fax(707) 546-7787

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateOctober 14, 2005

Last NPPES UpdateDecember 25, 2021

NPPES CertifiedDecember 25, 2021

✔ NPI 1356330278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in CA · 7949T

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

2655 CLEVELAND AVE STE A, Santa Rosa, CA 95403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jon E Fitzpatrick O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800850595

PECOS Enrollment IDI20041112000614

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

57 services57 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EOS EYECARE OPTOMETRIC GROUP

Optometrist

2655 CLEVELAND AVE STE A
SANTA ROSA, CA 95403

Sonoma County (707) 542-8883

ADVANCED VISION GROUP, INC.

Optometrist

2655 CLEVELAND AVE STE A
SANTA ROSA, CA 95403

Sonoma County (707) 542-8883

ERICA SHU-YEU WU O.D.

Optometrist

2655 CLEVELAND AVE STE A
SANTA ROSA, CA 95403

Sonoma County (707) 542-8883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Fitzpatrick's NPI number?

The NPI number for Jon Fitzpatrick is 1356330278. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Jon Fitzpatrick located?

Jon Fitzpatrick practices at 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403. The listed phone number is (707) 545-7350.

What is Jon Fitzpatrick's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Jon Fitzpatrick enrolled in Medicare?

Yes. Jon Fitzpatrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jon Fitzpatrick accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Jon Fitzpatrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Fitzpatrick was last updated on December 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.