Individual provider Active NPI

Trey Masaru Sano, OD

  • Optometrist
  • Clovis, CA
National Provider Identifier
1144077892
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36065 Issued in CA
Practice address
1029 Skylar LN
Clovis, CA 93619-6942
Phone
(714) 449-7400
NPI assigned
May 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36065 CA Primary

Addresses

Primary practice location

1029 Skylar LN
Clovis, CA 93619-6942

Mailing address

1029 Skylar LN
Clovis, CA 93619-6942
Phone (559) 355-7512

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
I20251015004153 CA Practitioner - Optometry 4688161334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avani Patel Optometric CorporationGroup PAC ID 1052780632, 12 clinicians

Practice addresses (Care Compare)

4983 N Blackstone Ave
Fresno, CA 93726-0109
Phone (510) 731-7873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36065CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Avani Patel Optometric Corporation Optometrist CurrentSince Aug 2, 2025 Accepting new patients

Locations

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

7825 N Blackstone Ave
Fresno, CA 93720
Phone (510) 457-6300

Organizations & group practices 1

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1144077892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 SKYLAR LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936196942",
            "telephone_number": "559-355-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 SKYLAR LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936196942",
            "telephone_number": "714-449-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANO",
        "first_name": "TREY",
        "middle_name": "MASARU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.