Optima Ophthalmic Medical Associates Inc

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

140000450 Issued in CA

Legal business name

OPTIMA OPHTHALMIC MEDICAL ASSOCIATES INC

Practice address

1237 B Street
Hayward, CA 94541

Phone

(510) 886-5497

Fax

(510) 886-4465

NPI assigned

May 31, 2006

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Richard Mandel, MDNPI 1770541294

Title

Secretary Treasurer

Phone

(510) 886-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Optima Ophthalmic Medical Associates, Inc

  • Ophthalmology Physician
  • Hayward, CA
  • NPI 1285837484

  5890766869

  Same PAC ID

Listed as

Optima Ophthalmic Medical Associates IncCCN 05C0001004

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seanna Rae Grob, MD, MAS

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Orange, CA
  • NPI 1013262104
  Medicare reassignment NPD
• Robin K Kuriakose, MD

  • Ophthalmology Physician
  • Hayward, CA
  • NPI 1902302359
  Medicare reassignment NPD
• Mark Richard Mandel, MD

  • Ophthalmology Physician
  • Hayward, CA
  • NPI 1770541294
  NPD (past) Authorized official
• Shirin Barez, MD

  • Ophthalmology Physician
  • Hayward, CA
  • NPI 1659338952
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1346287414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412915",
            "telephone_number": "510-886-5497",
            "fax_number": "510-886-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 B STREET",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "510-886-5497",
            "fax_number": "510-886-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA OPHTHALMIC MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "510-886-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "140000450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01004F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sen-Siang Ong
• Frances Onia, LMFT, PPSC
• Onlyserve, Inc.
• Felicia Marie Ontiveros
• Open MRI Inc (Insight Imaging - Hayward)
• Optima Ophthalmic Medical Associates, Inc
• Malena Oram
• Bryanna Alma Mae Ordinario
• Miles Oria
• Marisa Ornelas

• Ophthalmologic Surgery Clinic/Center in Hayward, CA
• Providers in Hayward, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.