Individual provider Active NPI

Alex Tadros, OD

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1558743104
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15285 Issued in CA
Practice address
24640 Jefferson Ave Ste 100
Murrieta, CA 92562-9030
Phone
(951) 677-5144
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15285 CA Primary

Addresses

Primary practice location

24640 Jefferson Ave Ste 100
Murrieta, CA 92562-9030

Mailing address

24640 Jefferson Ave Ste 100
Murrieta, CA 92562-9030

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
I20150717000431 CA Practitioner - Optometry 1355654583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alex Tadros Optometric CorporationGroup PAC ID 6507250297, 5 clinicians

Practice addresses (Care Compare)

24640 Jefferson Ave
Suite 100
Murrieta, CA 92562-9030
Phone (951) 677-5144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Lewis Optometric Optometrist CurrentSince Jun 19, 2015 Accepting new patients
Alex Tadros Optometric Corporation Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

24640 Jefferson Ave
Murrieta, CA 92562
Phone (951) 600-9111

24640 Jefferson Ave
Ste 100
Murrieta, CA 92562
Phone (951) 677-5144

Organizations & group practices 2

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1558743104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629030",
            "telephone_number": "951-677-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.