Individual provider Active NPI

Saria Iqbal, O.D.

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1255696688
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33357TLG Issued in CA
Practice address
208 Forest Creek LN
San Ramon, CA 94583-1249
Phone
(019) 820-8792
NPI assigned
Jul 11, 2012
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00639300 NJ
Optometrist 152W00000X OPT33357TLG CA Primary

Addresses

Primary practice location

208 Forest Creek LN
San Ramon, CA 94583-1249

Mailing address

208 Forest Creek LN
San Ramon, CA 94583-1249
Phone (201) 982-0879

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
I20251016004525 CA Practitioner - Optometry 3678986551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1705 Tullamore Ave
Suite a
Bloomington, IL 61704-7115

208 Forest Creek LN
San Ramon, CA 94583-1249

2721 Las Ramblas
Suite 210
Mission Viejo, CA 92694-8041

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33357CAMDGeneral Practice Dentistry
OPT33357TLGCAMDOptometrist
27OA00639300NJMDOptometrist
009111NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Dynamics Optometric Center Optometrist CurrentSince Oct 2, 2025 Accepting new patients

Locations

417 Sycamore Valley Rd W
Danville, CA 94526
Phone (925) 838-3021

Organizations & group practices 2

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1255696688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FOREST CREEK LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831249",
            "telephone_number": "201-982-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FOREST CREEK LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831249",
            "telephone_number": "019-820-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "SARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00639300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33357TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.