Individual provider Active NPI

Neda Zeim, O.D.

  • Optometrist
  • San Pedro, CA
National Provider Identifier
1184951345
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13759 Issued in CA
Practice address
1600 S Gaffey St
San Pedro, CA 90731-4628
Phone
(310) 548-0201
NPI assigned
Nov 9, 2009
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 13759 CA Primary

Addresses

Primary practice location

1600 S Gaffey St
San Pedro, CA 90731-4628

Mailing address

1600 S Gaffey St
San Pedro, CA 90731-4628
Phone (310) 548-0201

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
I20100419000463 CA Practitioner - Optometry 3274660592 Reassigns benefits to 1 organization
Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Mona Shah Professional CorporationGroup PAC ID 2062548084, 11 clinicians

Practice addresses (Care Compare)

1600 S Gaffey St
San Pedro, CA 90731-4628
Phone (310) 548-0201

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13759CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mona Shah Professional Corporation CurrentSince Jul 1, 2021 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Ears to Hear Inc Past Accepting new patients
Jon H. Yamane, O.D., Inc. Optometrist PastSince Oct 1, 2017 Accepting new patients

Locations

1294 W 6th St
Ste 205
San Pedro, CA 90731
Phone (310) 548-0201

1366 W 7th St
San Pedro, CA 90732
Phone (310) 548-0478

1600 S Gaffey St
San Pedro, CA 90731
Phone (310) 548-0201

621 S Butte St
San Pedro, CA 90732
Phone (310) 548-1422

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: neda.khadem@dmspc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1184951345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S GAFFEY ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314628",
            "telephone_number": "310-548-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S GAFFEY ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314628",
            "telephone_number": "310-548-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIM",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.