Individual provider Active NPI

Pooja Naik, O.D.

  • Optometrist
  • Orange, CA
National Provider Identifier
1073965232
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33469 Issued in CA
Practice address
1720 N Tustin St
Orange, CA 92865-4603
Phone
(714) 974-4400
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33469 CA Primary

Addresses

Primary practice location

1720 N Tustin St
Orange, CA 92865-4603

Mailing address

12331 Felson PL
Cerritos, CA 90703-8306
Phone (562) 965-8424

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
I20160822001100 CA Practitioner - Optometry 4183919772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12777 Valley View St
Suite 111
Garden Grove, CA 92845-2521
Phone (714) 229-1986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33469CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pooja Naik O D Inc Optometrist CurrentSince Dec 18, 2023 Accepting new patients
Jimmy K. Lee, M.D. Inc. PastSince Jul 18, 2016 Accepting new patients
Payam Zarehbin Optometrist PastSince Jan 20, 2021 Accepting new patients

Locations

12777 Valley View St
Ste 111
Garden Grove, CA 92845
Phone (714) 229-1986

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1073965232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12331 FELSON PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038306",
            "telephone_number": "562-965-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654603",
            "telephone_number": "714-974-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.