Individual provider Active NPI

Sherri S Azimi, O.D.

  • Optometrist
  • Laguna Niguel, CA
National Provider Identifier
1265589329
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10574 Issued in CA
Practice address
27972 Cabot Rd
Laguna Niguel, CA 92677-1211
Phone
(949) 347-1919
Fax
(949) 347-8871
NPI assigned
Jan 4, 2007
Last updated
Aug 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10574 CA Primary

Addresses

Primary practice location

27972 Cabot Rd
Laguna Niguel, CA 92677-1211

Mailing address

PO Box 2423
Del Mar, CA 92014-1723
Phone (858) 344-5430

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
I20071018000474 CA Practitioner - Optometry 0547356776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley W Greider M D IncGroup PAC ID 2062432982, 11 clinicians

Practice addresses (Care Compare)

2067 W Vista Way
Suite 120
Vista, CA 92083-6032
Phone (760) 758-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1265589329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2423",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141723",
            "telephone_number": "858-344-5430",
            "fax_number": "760-436-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27972 CABOT RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771211",
            "telephone_number": "949-347-1919",
            "fax_number": "949-347-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "SHERRI",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.