Organization Active NPI

Alex Tadros Optometric Corporation

Doing business as California Oaks Vision Center of Optometry

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1851922470
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALEX TADROS OPTOMETRIC CORPORATION
Doing business as
California Oaks Vision Center of Optometry
Practice address
24640 Jefferson Ave Ste 100
Murrieta, CA 92562-9030
Phone
(951) 677-5144
NPI assigned
Feb 1, 2020
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Dr. Alex V Tadros, ODNPI 1558743104
Title
Dcotor/Owner
Phone
(760) 662-0480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

24640 Jefferson Ave Ste 100
Murrieta, CA 92562-9030

Mailing address

24640 Jefferson Ave Ste 100
Murrieta, CA 92562-9030
Phone (951) 677-5144

Other names 1

  • California Oaks Vision Center of Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220223000135 CA Part B Supplier - Clinic/Group Practice 6507250297 Receives reassigned benefits from 5 practitioners
Practice locations: Murrieta, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2153710California Oaks Vision Center of Optometry24640 Jefferson Ave Suite 100, Murrieta, CA 92562Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory

Locations

24640 Jefferson Ave
Ste 100
Murrieta, CA 92562
Phone (951) 677-5144

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1851922470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629030",
            "telephone_number": "951-677-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629030",
            "telephone_number": "951-677-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX TADROS OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DCOTOR/OWNER",
        "authorized_official_telephone_number": "760-662-0480",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "California Oaks Vision Center of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.