Individual provider Active NPI

Aleta Doroudian, O.D.

  • Optometrist
  • Yuma, AZ
National Provider Identifier
1497748206
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-000911 Issued in AZ
Practice address
Yuma Vision Center
2750 S. Pacific Ave. Suite D
Yuma, AZ 85365
Phone
(928) 782-7557
NPI assigned
Aug 26, 2005
Last updated
Mar 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 911 AZ
Optometrist 152W00000X OPT-000911 AZ Primary

Addresses

Primary practice location

Yuma Vision Center
2750 S. Pacific Ave. Suite D
Yuma, AZ 85365

Mailing address

Yuma Vision Center
2750 S. Pacific Ave Suite D
Yuma, AZ 85365
Phone (520) 670-3909

Other practice location 1

2750 S Pacific Ave Ste D
Yuma, AZ 85365-3547
Phone (928) 580-6356

Other practice location 2

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other practice location 3

5405 E Granite St Bldg 2527
Tucson, AZ 85707-3004
Phone (520) 514-2029

Other identifiers 1

IdentifierTypeStateIssuer
331439MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040714001528 AZ Practitioner - Optometry 0345229217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Vision Center, IncGroup PAC ID 0840276390, 2 clinicians

Practice addresses (Care Compare)

5405 E Granite St
BLDG 2527
Tucson, AZ 85707-3004
Phone (520) 514-2029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
911AZMDOptometrist
OPT-000911AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Consulting Services, Inc Optometrist CurrentSince Feb 17, 2026 Accepting new patients
Yuma Vision Center, Inc Optometrist CurrentSince Feb 7, 2022 Accepting new patients
Usv Optical Inc Optometrist PastSince Jan 1, 2022 Accepting new patients

Locations

4144 N Oracle Rd
Ste 180
Tucson, AZ 85705
Phone (520) 467-4472

5405 E Granite St
Bldg 2527
Tucson, AZ 85707
Phone (520) 514-2029

6351 E Broadway Blvd
Ste 115
Tucson, AZ 85710
Phone (520) 467-4457

2750 S Pacific Ave
Ste D
Yuma, AZ 85365
Phone (928) 580-6356

Organizations & group practices 3

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1497748206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YUMA VISION CENTER",
            "address_2": "2750 S. PACIFIC AVE SUITE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "520-670-3909",
            "fax_number": "520-884-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YUMA VISION CENTER",
            "address_2": "2750 S. PACIFIC AVE. SUITE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-782-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 S Pacific Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853653547",
            "country_code": "US",
            "telephone_number": "928-580-6356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "839 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452819",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-884-9287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5405 E Granite St Bldg 2527",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857073004",
            "country_code": "US",
            "telephone_number": "520-514-2029",
            "fax_number": "520-745-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOROUDIAN",
        "first_name": "ALETA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "911",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331439",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.