Ashkan Tavakoli Isfahani, OD
Individual provider Active NPI Optometrist · Laguna Woods, CA
NPI 1508596149 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1508596149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 35290 (CA)
- Practice address
- 24301 Paseo de Valencia
Suite 102
Laguna Woods, CA 92637-3111 - Phone
- (949) 992-2020
- NPI assigned
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eyedoctor Optometry Laguna Woods, Inc.
Dr Martin Doll OD Inc
Practice addresses (Care Compare)
24301 Paseo de Valencia
Suite C
Laguna Woods, CA 92637-3111
Phone (949) 992-2020
7562 Ctr Ave
Huntington Beach, CA 92647-3002
Phone (714) 372-7525
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221020001844 | CA | Practitioner - Optometry | 1557737228 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35290 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyedoctor Optometry Laguna Woods Inc | Optometrist | Current |
Accepting new patients |
| Michael Goldman O.D.Incorporated | Optometrist | Past | Accepting new patients |
Locations
24301 Paseo de Valencia
Ste 102
Laguna Woods, CA 92637
Phone (949) 270-6063
24301 Paseo de Valencia
Laguna Woods, CA 92637
Phone (949) 992-2020
24301 Paseo de Valencia
Ste C
Laguna Woods, CA 92637
Phone (949) 992-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35290 | CA | Yes |
Addresses
Primary practice location
24301 Paseo de Valencia
Suite 102
Laguna Woods, CA 92637-3111
Mailing address
24301 Paseo de Valencia
Suite 102
Laguna Woods, CA 92637-3111
Phone (949) 992-2020
Other providers in Laguna Woods, CA
- Dianne Lee Hummel
- Hannah Shirley Kim Hurd
- Joshua Icasas
- Ihealth Psychology
- Jamie Innis
- Azin Tavakoli Isfahani
- Douglas Iwasa
- Ali Jamali
- Annie Sung Kwan Jeon
- Bryce Alan Johnson
All providers in Laguna Woods, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.