Individual provider Active NPI

Sophia Nooruddin, O.D.

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1386049906
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15160TLG Issued in CA
Practice address
40700 California Oaks Rd Ste 106
Murrieta, CA 92562-5789
Phone
(361) 815-1606
NPI assigned
Oct 24, 2014
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15160TLG CA Primary
Optometrist 152W00000X 8453T TX

Addresses

Primary practice location

40700 California Oaks Rd Ste 106
Murrieta, CA 92562-5789

Mailing address

40700 California Oaks Rd Ste 106
Murrieta, CA 92562-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150926000235 TX Practitioner - Optometry 9830407774 Reassigns benefits to 2 organizations
I20220210001242 CA Practitioner - Optometry 9830407774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lobue Laser and Eye Care Medical Center IncGroup PAC ID 3678462140, 5 clinicians

Practice addresses (Care Compare)

40700 California Oaks Rd
Suite 106
Murrieta, CA 92562-5789
Phone (951) 696-1135

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
93.09
Improvement activities
40
Cost
71.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8453TXMDChiropractor
15160TLGCAMDOptometrist
8453TTXMDOptometrist
15160CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lin & Tran OD PA Optometrist CurrentSince Jul 13, 2015 Accepting new patients
Lobue Laser and Eye Care Medical Center Inc CurrentSince Jan 21, 2022 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Oct 6, 2020 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

40700 California Oaks Rd
Ste 106
Murrieta, CA 92562
Phone (951) 696-1135

29950 Haun Rd
Ste 206
Sun City, CA 92586
Phone (951) 679-0545

40945 Winchester Rd
Temecula, CA 92591
Phone (951) 696-1135

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

20131 Highway 59 N
Ste 2416
Humble, TX 77338
Phone (281) 446-0440

Organizations & group practices 4

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": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1386049906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "361-815-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORUDDIN",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15160TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8453T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.