Mousami Paver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15073 Issued in CA

Practice address

3971 Irvine Blvd
Suite 110
Irvine, CA 92602-2482

Phone

(714) 505-0555

Fax

(714) 505-2655

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tedder Optometric Clinic Management, P.C.

  • Optometrist
  • Fontana, CA
  • NPI 1851091805
  Medicare reassignment NPD
• Tedder Optometry Group, PC

  • Optometrist
  • San Dimas, CA
  • NPI 1184484222
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423872000000",
    "number": "1154514495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3971 IRVINE BLVD",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022482",
            "telephone_number": "714-505-0555",
            "fax_number": "714-505-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 IRVINE BLVD",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022482",
            "telephone_number": "714-505-0555",
            "fax_number": "714-505-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVER",
        "first_name": "MOUSAMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2015-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00587800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britani Paul, CNM, WHNP
• Kelly J Paulson
• Rebecca Paulson
• Susan Carla Paulus
• Paver Optometry Inc
• Kelly Pavlick
• Taylor Pavloff
• Pawel P. Jankowski, M.D., a Medical Corporation
• Sara Paydar, PHARMD
• Kasra Paydavousi, L.AC.

• Optometrist in Irvine, CA
• Providers in Irvine, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; 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.

Verify at the official NPI Registry.