Individual provider Active NPI

Jonathan Jay Attiyah, OD

  • Optometrist
  • Montclair, CA
National Provider Identifier
1104666445
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35897 Issued in CA
Practice address
5237 Arrow Hwy
Montclair, CA 91763-1308
Phone
(909) 347-7722
Fax
(909) 202-4451
NPI assigned
May 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35897 CA Primary

Addresses

Primary practice location

5237 Arrow Hwy
Montclair, CA 91763-1308

Mailing address

4738 Emerald Ave
La Verne, CA 91750-2204
Phone (626) 733-7548

Other practice location 1

10740 Foothill Blvd
Rancho Cucamonga, CA 91730-3862
Phone (909) 942-3030

Other practice location 2

2443 Foothill Blvd
LA Verne, CA 91750-3028
Phone (909) 596-6756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT35897CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Attiyah Optometry and Visual Rehabilitation, PC CurrentSince Jun 15, 2025 Accepting new patients
Northwest Eye Care LLC Optometrist CurrentSince May 26, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients
Bruce R Wojciechowski Optometrist PastSince May 26, 2024 Accepting new patients

Locations

5237 Arrow Hwy
Montclair, CA 91763
Phone (909) 347-7722

15259 SE 82nd Dr
Ste 101
Clackamas, OR 97015
Phone (503) 657-0321

Organizations & group practices 4

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": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1104666445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 EMERALD AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502204",
            "telephone_number": "626-733-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631308",
            "telephone_number": "909-347-7722",
            "fax_number": "909-202-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303862",
            "country_code": "US",
            "telephone_number": "909-942-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2443 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503028",
            "country_code": "US",
            "telephone_number": "909-596-6756",
            "fax_number": "909-593-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTIYAH",
        "first_name": "JONATHAN",
        "middle_name": "JAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.