Nikko Iravani, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9985T Issued in CA

Practice address

2702 Augustine Dr Ste 120
Santa Clara, CA 95054-2940

Phone

(408) 528-7100

NPI assigned

Apr 3, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nikki Iravani Professional 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

University of Houston - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nikki Iravani OD a Professional CorporationGroup PAC ID 2062788110, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nikki Iravani OD a Professional Corporation

  dba EyeXam Optometry

  • Optometrist
  • Santa Clara, CA
  • NPI 1104352806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1659803088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542940",
            "telephone_number": "408-528-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542940",
            "telephone_number": "408-528-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAVANI",
        "first_name": "NIKKO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9985T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "IRAVANI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Intouch Home Care, Inc.
• Intouch Hospice Care LLC (Intouch Hospice Care)
• Intouch Hospice Inc
• Nasim Irani, MD
• Plomarz Rustom Irani, MD
• Camille Irvin
• Karo Isajan, DC
• Monica Nady Ishak
• Gabriela J Islas Mendez
• Abdulla Mahmood Ismail

• Optometrist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.