Individual provider Active NPI

Ashkan Tavakoli Isfahani, OD

  • Optometrist
  • Laguna Woods, CA
National Provider Identifier
1508596149
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35290 Issued in CA
Practice address
24301 Paseo de Valencia
Suite 102
Laguna Woods, CA 92637-3111
Phone
(949) 992-2020
NPI assigned
Jun 15, 2022
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35290 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221020001844 CA Practitioner - Optometry 1557737228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyedoctor Optometry Laguna Woods, Inc.Group PAC ID 3274038559, 2 clinicians
Dr Martin Doll OD IncGroup PAC ID 2961633185, 3 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35290CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyedoctor Optometry Laguna Woods Inc Optometrist CurrentSince Jan 31, 2025 Accepting new patients
Michael Goldman O.D.Incorporated Optometrist Past Accepting new patients

Locations

24301 Paseo de Valencia
Laguna Woods, CA 92637
Phone (256) 658-1870

24301 Paseo de Valencia
Ste 102
Laguna Woods, CA 92637
Phone (949) 270-6063

24301 Paseo de Valencia
Ste C
Laguna Woods, CA 92637
Phone (949) 992-2020

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1508596149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 PASEO DE VALENCIA",
            "address_2": "SUITE 102",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373111",
            "telephone_number": "949-992-2020",
            "fax_number": "949-992-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 PASEO DE VALENCIA",
            "address_2": "SUITE 102",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373111",
            "telephone_number": "949-992-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISFAHANI",
        "first_name": "ASHKAN",
        "middle_name": "TAVAKOLI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.