Individual provider Active NPI

Dyala Harb, OD

  • Optometrist
  • Moreno Valley, CA
National Provider Identifier
1689520421
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36189 Issued in CA
Practice address
27100 Eucalyptus Ave
Moreno Valley, CA 92555-4522
Phone
(951) 247-2365
NPI assigned
Mar 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 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 36189 CA Primary

Addresses

Primary practice location

27100 Eucalyptus Ave
Moreno Valley, CA 92555-4522

Mailing address

6783 Canyon Hill Dr
Riverside, CA 92506-5672
Phone (952) 452-4443

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
I20260408000750 CA Practitioner - Optometry 1951876903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3333 Quality Dr
Rancho Cordova, CA 95670-7985

6783 Canyon Hill Dr
Riverside, CA 92506-5672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36189CAMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1689520421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 CANYON HILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065672",
            "telephone_number": "952-452-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 EUCALYPTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554522",
            "telephone_number": "951-247-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARB",
        "first_name": "DYALA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.