Individual provider Active NPI

Monica Rani, OD

  • Optometrist
  • Irvine, CA
National Provider Identifier
1063041630
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34683TLG Issued in CA
Practice address
4505 Barranca Pkwy Ste C
Irvine, CA 92604-4797
Phone
(949) 857-0676
Fax
(949) 857-0676
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34683TLG CA Primary

Addresses

Primary practice location

4505 Barranca Pkwy Ste C
Irvine, CA 92604-4797

Mailing address

4505 Barranca Pkwy Ste C
Irvine, CA 92604-4797
Phone (949) 857-0676

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
I20200925000882 CA Practitioner - Optometry 9638598501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appy Professional Optometric CorporationGroup PAC ID 8325181209, 3 clinicians

Practice addresses (Care Compare)

851 Bayside Rd
Arcata, CA 95521-6769
Phone (707) 822-7641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34683CAMDClinical Psychologist
OPT34683TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Appy Professional Optometric Corporation Optometrist CurrentSince Feb 21, 2025 Accepting new patients
Advanced Eyecare Professional Optometric Group Optometrist CurrentSince Jan 11, 2022 Accepting new patients

Locations

851 Bayside Rd
Ste A
Arcata, CA 95521
Phone (707) 822-7641

330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890

1055 Foothill Blvd
La Canada, CA 91011

6702 Inglewood Ave
Ste H
Stockton, CA 95207
Phone (209) 951-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1063041630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044797",
            "telephone_number": "949-857-0676",
            "fax_number": "949-857-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044797",
            "telephone_number": "949-857-0676",
            "fax_number": "949-857-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANI",
        "first_name": "MONICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34683TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.