Individual provider Active NPI

Sara Julazadeh, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1952592768
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13269 Issued in CA
Practice address
3939 3Rd Ave
San Diego, CA 92103-3002
Phone
(800) 765-1737
Fax
(619) 291-6577
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT13269 CA Primary
Optometrist 152W00000X 13269 CA

Addresses

Primary practice location

3939 3Rd Ave
San Diego, CA 92103-3002

Mailing address

3939 3Rd Ave
San Diego, CA 92103-3002
Phone (800) 765-1737

Other names 1

  • Sara Hairi Former name

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
I20080111000632 CA Practitioner - Optometry 9436230729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 W El Norte Pkwy
Escondido, CA 92026-3923
Phone (800) 765-2737

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13269CAMDOptometrist
13269CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute, a Medical Group, Inc. Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Pacific Eye Institute a Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

9834 Genesee Ave
Ste 428
La Jolla, CA 92037
Phone (858) 404-0220

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

3637 Vista Way
Oceanside, CA 92056
Phone (760) 758-2008

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sjulazadeh@pacificeyelaser.intellechartdirect.net

Organizations & group practices 2

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1952592768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "800-765-1737",
            "fax_number": "619-291-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "800-765-1737",
            "fax_number": "619-291-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULAZADEH",
        "first_name": "SARA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13269",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HAIRI",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.