Active NPI
Tiana Jean Mathieson, OD
- Optometrist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003436
- Practice address
- 1560 Mall Dr
Norfolk, VA 23511-3806 - Phone
- (757) 440-1075
- Fax
- (619) 764-4022
- NPI assigned
- Mar 29, 2018
- Last updated
- Apr 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3080 | CT | |
| Optometrist | 152W00000X | R-312-TA-C54 | AL | |
| Optometrist | 152W00000X | 0618003436 | VA | Primary |
| Optometrist | 152W00000X | 3281009 | ID | |
| Optometrist | 152W00000X | OPT34109-TLG | CA |
Addresses
Primary practice location
1560 Mall Dr
Norfolk, VA 23511-3806
Mailing address
1560 Mall Dr
Norfolk, VA 23511-3806
Phone (757) 440-1075
Other practice location 1
1926 W State St
Boise, ID 83702-3957
Phone (208) 336-2020
Other practice location 2
230 W Mallard Dr Ste A
Boise, ID 83706-3995
Phone (208) 342-4841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AL, VA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1560 Mall Dr
Norfolk, VA 23511-3806
Phone (757) 440-1075
1926 W State St
Boise, ID 83702-3957
Phone (208) 336-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.59 of 100
- Quality
- 87.13
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 65.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34109 | CA | MD | Clinical Psychologist |
| OPT34109-TLG | CA | MD | Optometrist |
| 3281009 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Ada Vision Center P.a. | Optometrist | Current | Accepting new patients |
| Howard C. Wang, O.D., a Professional Corporation | Optometrist | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Optometric Associates P.C. | Optometrist | Current | Accepting new patients |
| Family Optometric Associates P.C. | Optometrist | Current | Accepting new patients |
Locations
7630 Via Campanile
Ste 134
Carlsbad, CA 92009
Phone (760) 613-9526
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
1926 W State St
Boise, ID 83702
Phone (208) 336-2020
Interoperability endpoints
- tiana.mathieson.p1@direct.ecs.nextgenshare.com
Organizations & group practices 8
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.
-
- Optometrist
- Boise, ID
- NPI 1407869589
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Modern Eyes Optometry
- Optometrist
- Carlsbad, CA
- NPI 1417347014
-
dba Sherman Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1174549232
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Optometrist
- Columbia, SC
- NPI 1669064036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1144725268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 MALL DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235113806",
"telephone_number": "757-440-1075",
"fax_number": "619-764-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 MALL DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235113806",
"telephone_number": "757-440-1075",
"fax_number": "619-764-4022"
}
],
"practiceLocations": [
{
"address_1": "1926 W State St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837023957",
"country_code": "US",
"telephone_number": "208-336-2020",
"fax_number": "209-384-5677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 W Mallard Dr Ste A",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837063995",
"country_code": "US",
"telephone_number": "208-342-4841",
"fax_number": "208-343-9553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIESON",
"first_name": "TIANA",
"middle_name": "JEAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "3080",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "R-312-TA-C54",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003436",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "3281009",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT34109-TLG",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.