Mercedeh Motameni, O.D., an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

9453T Issued in CA

Legal business name

MERCEDEH MOTAMENI, O.D., AN OPTOMETRIC CORPORATION

Practice address

4125 Sepulveda Blvd
Culver City, CA 90230-4706

Phone

(310) 391-6311

Fax

(310) 390-1874

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Mercedeh Motameni, O.D.NPI 1841343647

Title

Optometrist, Owner

Phone

(310) 391-6311

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercedeh Motameni, O.D.

  • Optometrist
  • Culver City, CA
  • NPI 1841343647
  Medicare reassignment NPD Authorized official
• Ali Vaziri, D.D.S.

  • Endodontics
  • Pacific Palisades, CA
  • NPI 1669532925
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1437422185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304706",
            "telephone_number": "310-391-6311",
            "fax_number": "310-390-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304706",
            "telephone_number": "310-391-6311",
            "fax_number": "310-390-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDEH MOTAMENI, O.D., AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "MOTAMENI",
        "authorized_official_first_name": "MERCEDEH",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "310-391-6311",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9453T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "9453T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "9453T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "9453T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0094530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tertia Gay Mendoza
• Kevin Menendez
• Justin Alexander Meneses
• Nicole Mensinger
• Alma G Mercado
• Sharon Idalis Merino
• Luis Merlos, BCBA
• Melissa Merrill
• Lilandra Mesa
• Matt Meskini

• Optometrist in Culver City, CA
• Providers in Culver City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.