Individual provider Active NPI

Lydia Mathew, OD

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1700620697
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35786 Issued in CA
Practice address
725 University Ave Ste a
Palo Alto, CA 94301-2148
Phone
(650) 329-1600
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 35786 CA Primary

Addresses

Primary practice location

725 University Ave Ste a
Palo Alto, CA 94301-2148

Mailing address

725 University Ave Ste a
Palo Alto, CA 94301-2148

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
I20240719003589 CA Practitioner - Optometry 7618413113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Optometric Care of Northern California PCGroup PAC ID 6002216488, 18 clinicians

Practice addresses (Care Compare)

725 University Ave
Palo Alto, CA 94301-2148
Phone (650) 321-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35786CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Jul 8, 2024 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Jul 8, 2024 Accepting new patients
First Optometric Care of Northern California PC Optometrist Past Accepting new patients

Locations

725 University Ave
#A
Palo Alto, CA 94301
Phone (650) 329-1600

725 University Ave
Palo Alto, CA 94301
Phone (650) 321-2015

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034

Organizations & group practices 4

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1700620697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY AVE STE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY AVE STE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012148",
            "telephone_number": "650-329-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "LYDIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.