Isabella Samantha Myers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33538TLG Issued in CA

Practice address

8050 Santa Teresa Blvd
#110
Gilroy, CA 95020-3862

Phone

(408) 842-2020

Fax

(408) 842-0312

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Isabella Samantha Diaz Former name

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

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Visual Edge Optomertic GroupGroup PAC ID 7012029846, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Visual Edge Optomertic Group

  • Optometrist
  • Gilroy, CA
  • NPI 1225028236
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1568918225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DOTS CIRCLE",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950236313",
            "telephone_number": "408-607-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SANTA TERESA BLVD",
            "address_2": "#110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203862",
            "telephone_number": "408-842-2020",
            "fax_number": "408-842-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ISABELLA",
        "middle_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33538",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33538TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "DIAZ",
            "middle_name": "SAMANTHA",
            "prefix": "MISS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Murray
• M. Bakri Musa, M.D.
• Alanna Nicole Mussynski
• Oliver Garcia Muyot
• Angela Carbone Myers, LCSW
• Nadia M Nader a Zaky, PHD, MA, AMFT
• Micheline Nader
• Renate Marie Nadler, M.D
• Eric R Nagareda, D.D.S.
• Carly Mika Nakano

• Optometrist in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.