Organization Active NPI

Ali Optometry Professional Corporation

Doing business as Ali Optometry

  • Optometrist
  • San Diego, CA
National Provider Identifier
1609534379
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALI OPTOMETRY PROFESSIONAL CORPORATION
Doing business as
Ali Optometry
Practice address
3245 Sports Arena Blvd
San Diego, CA 92110-4529
Phone
(707) 771-0666
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Samira Alizadeh, ODNPI 1760044085
Title
Optometrist
Phone
(707) 771-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

3245 Sports Arena Blvd
San Diego, CA 92110-4529

Mailing address

3245 Sports Arena Blvd
San Diego, CA 92110-4529
Phone (707) 771-0666

Other names 1

  • Ali Optometry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.dralioptometry.com Direct

National Provider Directory

National Provider Directory

Locations

3245 Sports Arena Blvd
San Diego, CA 92110
Phone (619) 223-1702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1609534379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 SPORTS ARENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104529",
            "telephone_number": "707-771-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 SPORTS ARENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104529",
            "telephone_number": "707-771-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI OPTOMETRY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "707-771-0666",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.dralioptometry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3245 Sports Arena Blvd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921104529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ali Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.