Nicoletta J. Stefanidis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT9367TPA Issued in CA

Practice address

24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623

Phone

(949) 951-2020

Fax

(949) 951-9244

NPI assigned

Apr 27, 2006

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

Specialty

Optometry

Education

Southern California College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvard Eye Associates Fka Roger Ohanesian MD and Edward Kim MD IncGroup PAC ID 4789632167, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.67 of 100Reported as group

Quality

93.87

Promoting interoperability

100

Improvement activities

40

Cost

41.69

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Harvard Eye Associates

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1356371074
  Medicare reassignment Care Compare group NPD
• Bradley W Greider MD Inc

  • Ophthalmology Physician
  • Vista, CA
  • NPI 1104923705
  Medicare reassignment

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326005869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-951-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-951-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANIDIS",
        "first_name": "NICOLETTA",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9367TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standiford Helm II, M.D. Inc.
• Stanley C. Kimball DDS
• Shawna Stanley, COTA
• Haley Stauber
• Jeff T Stea
• Bianca Steffen
• Elizabeth Steffens, MS
• Judith L Steinhouser, DC
• Sarah M Steinmeyer, PH.D.
• Gabriella Ellen Dominique Stemrich, BT

• Optometrist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• 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.