Individual provider Active NPI

Tiana Jean Mathieson, OD

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1144725268
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003436 Issued in VA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190812000272 CA Practitioner - Optometry 0042547234 Reassigns benefits to 2 organizations
I20220215000210 AL Practitioner - Optometry 0042547234
I20241010000017 VA Practitioner - Optometry 0042547234 Reassigns benefits to 1 organization
I20260429003434 ID Practitioner - Optometry 0042547234 Reassigns benefits to 2 organizations

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
Family Optometric Associates PCGroup PAC ID 5698873891, 5 clinicians
Ada Vision Center PAGroup PAC ID 0648178707, 3 clinicians

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 100Reported as group
Quality
87.13
Promoting interoperability
95
Improvement activities
40
Cost
65.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34109CAMDClinical Psychologist
OPT34109-TLGCAMDOptometrist
3281009IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Jul 22, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 22, 2019 Accepting new patients
Ada Vision Center P.a. Optometrist CurrentSince Apr 14, 2026 Accepting new patients
Howard C. Wang, O.D., a Professional Corporation Optometrist CurrentSince Aug 12, 2019 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Optometric Associates P.C. Optometrist CurrentSince Nov 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.