Nikki Iravani OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

9985T Issued in CA

Legal business name

NIKKI IRAVANI OD A PROFESSIONAL CORPORATION

Practice address

2702 Augustine Dr Ste 120
Santa Clara, CA 95054-2940

Phone

(408) 528-7100

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nikoo Iravani, O.D.

Title

Founder/Ceo

Phone

(408) 528-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EyeXam Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dannelle Chung

  • Optometrist
  • Los Angeles, CA
  • NPI 1366903254
  Medicare reassignment Care Compare group NPD
• Nikko Iravani, O.D.

  • Optometrist
  • Santa Clara, CA
  • NPI 1659803088
  Medicare reassignment Care Compare group NPD
• Sean Kao, OD

  • Optometrist
  • Sunnyvale, CA
  • NPI 1760220305
  Medicare reassignment NPD
• Tammy Huang, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1750806196
  NPD (past)
• Neda Nilieh, OD

  • Optometrist
  • Laguna Woods, CA
  • NPI 1790492379
  NPD (past)
• Sivarupan Sivalingam, OD

  • Optometrist
  • Santa Clara, CA
  • NPI 1316477847
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1104352806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542940",
            "telephone_number": "408-528-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542940",
            "telephone_number": "408-528-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI IRAVANI OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "IRAVANI",
        "authorized_official_first_name": "NIKOO",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "408-528-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9985T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1659803088",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13920487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeXam Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guanhua Nie
• Ryan D Niederkohr, M.D.
• Polina Simone Niedle, MD
• Kenneth R.K. Nielsen, MD
• Gurneet Kaur Nijjar
• Mike Milad Nima I, MS
• Gina Marie Ninci-Harris, IMF
• Millie Nishikawa, MD
• Carrie S Nishimoto, DDS
• Crystal Goulart Nisperos

• Optometrist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.