Individual provider Active NPI

Tiffany Thair Tomika

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1376320812
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35552 Issued in CA
Practice address
5460 E la Palma Ave
Anaheim, CA 92807-2023
Phone
(619) 494-0448
NPI assigned
Sep 8, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35552 CA Primary

Addresses

Primary practice location

5460 E la Palma Ave
Anaheim, CA 92807-2023

Mailing address

PO Box 481
Bonita, CA 91908-0481
Phone (619) 494-0448

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
I20231215003063 CA Practitioner - Optometry 3274982269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35552CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 5, 2023 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Mira Mesa Optometry, Inc Optometrist PastSince Mar 28, 2018 Accepting new patients
David W. Stemley, O.D., Inc. Optometrist PastSince Jul 4, 2017 Accepting new patients
John C Pack, O.D. and Beverly Bianes, O.D. Inc Optometrist PastSince Mar 1, 2007 Accepting new patients
Bonita Point Family Optometry, Inc. Optometrist PastSince Jun 1, 2012 Accepting new patients

Locations

180 Otay Lakes Rd
Ste 201
Bonita, CA 91902
Phone (619) 267-2012

180 Otay Lakes Rd
Bonita, CA 91902
Phone (619) 267-9900

2540 El Camino Real
Ste B
Carlsbad, CA 92008
Phone (760) 729-9353

374 E H St
Ste 1708
Chula Vista, CA 91910
Phone (619) 425-7990

890 Eastlake Pkwy
Ste 102
Chula Vista, CA 91914
Phone (619) 216-3937

1093 E Main St
El Cajon, CA 92021
Phone (619) 444-1153

7850 Broadway
Lemon Grove, CA 91945
Phone (619) 697-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

7770 Regents Rd
Ste 104
San Diego, CA 92122
Phone (858) 546-1940

8230 Mira Mesa Blvd
San Diego, CA 92126

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

8230 Mira Mesa Blvd
Ste B
San Diego, CA 92126
Phone (858) 566-6670

Interoperability endpoints

  • Direct secure messaging: tiffany.tomika@uprisedirect.com

Organizations & group practices 6

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1376320812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919080481",
            "telephone_number": "619-494-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072023",
            "telephone_number": "619-494-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMIKA",
        "first_name": "TIFFANY",
        "middle_name": "THAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.