Poneh Alavi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

13233T Issued in CA

Practice address

25450 The Old Rd
Stevenson Ranch, CA 91381-1704

Phone

(661) 253-3662

Fax

(661) 253-4407

NPI assigned

Oct 1, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 SC

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg South Carolina Professional PCGroup PAC ID 5597129064, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg South Carolina Professional PC

  • Optometrist
  • Columbia, SC
  • NPI 1720768427
  Medicare reassignment Care Compare group NPD
• Carolina Forest Family Eyecare, P.a.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1972621423
  NPD (past)
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1316134653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25450 THE OLD RD",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811704",
            "telephone_number": "661-253-3662",
            "fax_number": "661-253-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25450 THE OLD RD",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811704",
            "telephone_number": "661-253-3662",
            "fax_number": "661-253-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "PONEH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13233T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1Caretransportation LLC
• Mary Christine Alexander, PPS
• All Care Management Enterprise LLC
• All Care Transition Services, LLC
• Azadeh Attaran, PHARMD
• Lilia Babakhan

• Optometrist in Stevenson Ranch, CA
• Providers in Stevenson Ranch, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.