Melody Deborah Tavakoli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14039 Issued in CA

Practice address

5680 Balboa Ave
San Diego, CA 92111-2706

Phone

(858) 278-2837

NPI assigned

Nov 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

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.

• Melody Tavakoli O.D., Professional Corporation

  • Optometrist
  • Chula Vista, CA
  • NPI 1275912800
  Medicare reassignment NPD Authorized official
• Kelly Keane OD Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1194240358
  NPD (past)
• Seal Beach Eyes Optometry Inc

  • Optometrist
  • Seal Beach, CA
  • NPI 1124171566
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1154623254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3358",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921631358",
            "telephone_number": "818-516-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112706",
            "telephone_number": "858-278-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI",
        "first_name": "MELODY",
        "middle_name": "DEBORAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2026-02-12",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelin Isabel Taunt
• Philip Taunton, O.D.
• Sara Tauriello, PHD
• Daisy M Tausan
• Zoe Tauxe
• Adriana Maria Tavares Gomes, MD
• Rebecca Tavares
• Aimee Payumo Tavera, RN
• Jessica L Taverniti, PSY.D, BCBA-D
• Jessica Brooke Tavison, LMT

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.