MM Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MM OPTOMETRIC CORPORATION

Practice address

3024 W Jack London Blvd
Livermore, CA 94551-7609

Phone

(925) 800-5149

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Mathirmedha Mangipudi, ODNPI 1275359200

Title

Optometrist

Phone

(925) 998-8753

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathirmedha Mangipudi

  • Optometrist
  • Pleasanton, CA
  • NPI 1275359200
  NPD Authorized official
• David Jason Border, OD

  • Optometrist
  • Ceres, CA
  • NPI 1003171661
  NPD (past)

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1720877822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 W JACK LONDON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 W JACK LONDON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517609",
            "telephone_number": "925-800-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "MANGIPUDI",
        "authorized_official_first_name": "MATHIRMEDHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "925-998-8753",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfulcare Hospice and Palliative Servvices
• Ann Khazzandra Miranda
• Charles Mitchell, OD
• Linda Mitchell
• Edward Arthur Mitoma, DDS
• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
• Soudabeh Mohammadi Kholdi, DDS
• Sneha Mohare, OTR/L
• Brita Moilanen, MD
• Sarah Pacheco Moline, DOCTOR OF PHARMACY

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.