Individual provider Active NPI

Anifa Avakian Stadtman, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1396154456
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15027 Issued in CA
Practice address
7130 W Chandler Blvd Ste 19
Chandler, AZ 85226-3241
Phone
(480) 961-8999
NPI assigned
Aug 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15027 CA Primary

Addresses

Primary practice location

7130 W Chandler Blvd Ste 19
Chandler, AZ 85226-3241

Mailing address

7130 W Chandler Blvd Ste 19
Chandler, AZ 85226-3241
Phone (480) 961-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20150708001808 CA Practitioner - Optometry 5496067217 Reassigns benefits to 2 organizations
I20250310001220 AZ Practitioner - Optometry 5496067217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7130 W Chandler Blvd
Suite 19
Chandler, AZ 85226-3241
Phone (480) 961-8999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15027CAMDAddiction (Substance Use Disorder) Counselor
12203CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avakian Stadtman Optometric PLLC Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Beverly Hills Institute of Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Eyedentity Vision Optometry, Inc. PastSince May 21, 2018 Accepting new patients

Locations

7130 W Chandler Blvd
Ste 19
Chandler, AZ 85226
Phone (480) 753-5999

416 N Bedford Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 271-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396154456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-961-8999",
            "fax_number": "480-961-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-961-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN STADTMAN",
        "first_name": "ANIFA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-03",
        "last_updated": "2025-09-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.