Michele Angela Atiz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12106T Issued in CA

Practice address

1035 S Garey Ave
Pomona, CA 91766-3330

Phone

(909) 623-6766

Fax

(909) 623-8070

NPI assigned

Nov 2, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maison Optique Optometric Center

  • Optometrist
  • Torrance, CA
  • NPI 1528144011
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1720167794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917663330",
            "telephone_number": "909-623-6766",
            "fax_number": "909-623-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917663330",
            "telephone_number": "909-623-6766",
            "fax_number": "909-623-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIZ",
        "first_name": "MICHELE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12106T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0121061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tsega Assefa
• Assistance League of Pomona Valley
• Maria P Astillero, FNP
• Nancy Atempa-Bonilla
• Isabella Ateshian
• James Tyler Atkins, DPT
• Attainable Behavior Solutions
• Attainable Behavior Therapies LLC
• Attainable Behavior Therapies LLC
• Eric Hai Au

• Optometrist in Pomona, CA
• Providers in Pomona, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.