Active NPI
Jonathan Jay Attiyah, OD
- Optometrist
- Montclair, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35897
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35897 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attiyah Optometry and Visual Rehabilitation, PC | Current | Accepting new patients | |
| Northwest Eye Care LLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| Bruce R Wojciechowski | Optometrist | Past | 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.
-
- Health Service Clinic/Center
- Montclair, CA
- NPI 1487549366
-
- Optometrist
- Clackamas, OR
- NPI 1669856902
-
- Optician
- Rancho Cucamonga, CA
- NPI 1760934178
-
- Optometrist
- Clackamas, OR
- NPI 1699976530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.