Active NPI
Sepideh Saleki, OD
- Optometrist
- Mesa, AZ
National Provider Identifier
1790118297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3319-35
- Practice address
- 1365 S Alma School Rd
Mesa, AZ 85210-2085 - Phone
- (480) 615-9852
- Fax
- (480) 833-9198
- NPI assigned
- Aug 20, 2013
- 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 | 3319-35 | WI | Primary |
Addresses
Primary practice location
1365 S Alma School Rd
Mesa, AZ 85210-2085
Mailing address
1365 S Alma School Rd
Mesa, AZ 85210-2085
Phone (480) 615-9852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3319-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients |
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.
-
- Eyewear Supplier
- Mesa, AZ
- NPI 1790821932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1790118297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 S ALMA SCHOOL RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852102085",
"telephone_number": "480-615-9852",
"fax_number": "480-833-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 S ALMA SCHOOL RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852102085",
"telephone_number": "480-615-9852",
"fax_number": "480-833-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEKI",
"first_name": "SEPIDEH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3319-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.