Individual provider Active NPI

Samantha Daoud, OD

  • Optometrist
  • Del Mar, CA
National Provider Identifier
1104675735
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35660 Issued in CA
Practice address
2673 Via de la Valle Ste F
Del Mar, CA 92014-1912
Phone
(858) 755-9465
NPI assigned
May 15, 2024
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 35660 CA Primary

Addresses

Primary practice location

2673 Via de la Valle Ste F
Del Mar, CA 92014-1912

Mailing address

7841 Fay Ave
La Jolla, CA 92037-4251

Other practice location 1

7841 Fay Ave
LA Jolla, CA 92037-4251
Phone (858) 454-4699

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
I20240610002831 CA Practitioner - Optometry 3072055771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Wink Optometry del Mar IncGroup PAC ID 0345520623, 3 clinicians
GW Eye Associates IncGroup PAC ID 2062304397, 4 clinicians

Practice addresses (Care Compare)

2673 Via de la Valle
Suite F
Del Mar, CA 92014-1912
Phone (858) 755-9465

7841 Fay Ave
La Jolla, CA 92037-4251
Phone (858) 454-4699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wink Optometry del Mar Inc Optometrist CurrentSince Jun 4, 2024 Accepting new patients
GW Eye Associates Inc Optometrist CurrentSince May 31, 2024 Accepting new patients

Locations

2673 Via de la Valle
Ste F
Del Mar, CA 92014
Phone (858) 454-4699

7841 Fay Ave
La Jolla, CA 92037
Phone (858) 454-4699

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1104675735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374251",
            "fax_number": "858-454-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 VIA DE LA VALLE STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141912",
            "telephone_number": "858-755-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7841 Fay Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374251",
            "country_code": "US",
            "telephone_number": "858-454-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAOUD",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.