Active NPI
Atousa Attar, O.D.
- Optometrist
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12544
- Practice address
- 300 The Shops Blvd
Mission Viejo, CA 92691-9269 - Phone
- (949) 347-1287
- Fax
- (949) 347-1256
- NPI assigned
- Jun 17, 2006
- Last updated
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12544 | CA | Primary |
Addresses
Primary practice location
300 The Shops Blvd
Mission Viejo, CA 92691-9269
Mailing address
3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085
Other practice location 1
3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205153800 | Other | CA | US DEPT. OF LABOR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24422 Avenida de la Carlota
Suite 110
Laguna Hills, CA 92653-3634
Phone (949) 770-1322
3500 S Bristol St
Suite 202
Santa Ana, CA 92704-7306
Phone (714) 557-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12544 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George M. Salib, M.D. Inc. | Current | Accepting new patients | |
| Atousa Attar OD Inc | Optometrist | Current | Accepting new patients |
| Miramar Lynn Medical Group Inc | Past | Accepting new patients | |
| Neda Rashti, O.D., Inc. | Optometrist | Past | Accepting new patients |
| Jimmy K. Lee, M.D. Inc. | Past | Accepting new patients | |
| Debra G Tennen, MD, a Professional Medical Corporation | Past | Accepting new patients |
Locations
24422 Avenida de la Carlota
Ste 110
Laguna Hills, CA 92653
Phone (949) 770-1322
3500 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (714) 557-7800
Organizations & group practices 7
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.
-
- Optometrist
- Mission Viejo, CA
- NPI 1245986439
-
- Ophthalmology Physician
- Laguna Hills, CA
- NPI 1093011942
-
dba Agoura Hills Eye Care
- Ophthalmology Physician
- Agoura Hills, CA
- NPI 1942355151
-
dba California Vision Institute
- Cornea and External Diseases Specialist Physician
- Irvine, CA
- NPI 1750143681
-
dba Lynn Eye Medical Group
- Ophthalmology Physician
- Thousand Oaks, CA
- NPI 1043631419
-
- Optometrist
- Westminster, CA
- NPI 1164986204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1689619512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032916",
"telephone_number": "805-648-3085",
"fax_number": "805-648-7027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 THE SHOPS BLVD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926919269",
"telephone_number": "949-347-1287",
"fax_number": "949-347-1256"
}
],
"practiceLocations": [
{
"address_1": "3085 Loma Vista Rd",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930032916",
"country_code": "US",
"telephone_number": "805-648-3085",
"fax_number": "805-648-7027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATTAR",
"first_name": "ATOUSA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2021-07-01",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR",
"identifier": "205153800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.