Individual provider Active NPI

Syed Asif Ali, O.D. (OPTOMETRIST)

  • Optometrist
  • Santa Maria, CA
National Provider Identifier
1902854391
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11997T Issued in CA
Practice address
1700 S Bradley Rd
Santa Maria, CA 93454-8001
Phone
(805) 925-1092
Fax
(805) 925-4664
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11997T CA Primary

Addresses

Primary practice location

1700 S Bradley Rd
Santa Maria, CA 93454-8001

Mailing address

1700 S Bradley Rd
Santa Maria, CA 93454-8001
Phone (805) 925-1092

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
I20090904000538 CA Practitioner - Optometry 7214082783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ali OD and Patel OD Professional Optometric CorporationGroup PAC ID 1355496829, 2 clinicians

Practice addresses (Care Compare)

1700 S Bradley Rd
Santa Maria, CA 93454-8001
Phone (805) 925-1092

Merit-based Incentive Payment System (MIPS)

Final score
88.59 of 100Reported as individual
Quality
77.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11997CAMDProfessional Counselor
11997TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ali OD and Patel OD Professional Optometric Corporation Optometrist CurrentSince Aug 15, 2009 Accepting new patients

Locations

1700 S Bradley Rd
Santa Maria, CA 93454
Phone (805) 922-3430

1540 Froom Ranch Way
Sn Luis Obisp, CA 93405
Phone (805) 541-7028

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1902854391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S BRADLEY RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548001",
            "telephone_number": "805-925-1092",
            "fax_number": "805-925-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BRADLEY RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548001",
            "telephone_number": "805-925-1092",
            "fax_number": "805-925-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SYED",
        "middle_name": "ASIF",
        "name_prefix": "Dr.",
        "credential": "O.D. (OPTOMETRIST)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11997T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.