Individual provider Active NPI

Nisreen Sloulin, OD

  • Optometrist
  • Fontana, CA
National Provider Identifier
1881561918
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36145 Issued in CA
Practice address
8381 Juniper Ave # 100
Fontana, CA 92335-3431
Phone
(909) 429-2020
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36145 CA Primary

Addresses

Primary practice location

8381 Juniper Ave # 100
Fontana, CA 92335-3431

Mailing address

8381 Juniper Ave # 100
Fontana, CA 92335-3431

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
I20260105001445 CA Practitioner - Optometry 9931695475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3082 Hilldale Ave
Simi Valley, CA 93063-2636

9533 Langston St
Rancho Cucamonga, CA 91730-2719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36145CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fontana Optometric Group, Inc. Optometrist CurrentSince Oct 11, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1881561918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 JUNIPER AVE # 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 JUNIPER AVE # 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353431",
            "telephone_number": "909-429-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOULIN",
        "first_name": "NISREEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.