Individual provider Active NPI

Paymaun Asnaashari, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1992277875
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34187TLG Issued in CA
Practice address
960 Fulton Ave Ste 400
Sacramento, CA 95825-4558
Phone
(916) 646-9155
Fax
(916) 646-9264
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Optometrist 152W00000X OPT34187TLG CA Primary

Addresses

Primary practice location

960 Fulton Ave Ste 400
Sacramento, CA 95825-4558

Mailing address

PO Box 661827
Sacramento, CA 95866-1827

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
I20190418001577 CA Practitioner - Optometry 9032450119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

960 Fulton Ave
Suite 400
Sacramento, CA 95825-4558
Phone (916) 646-9155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT34187TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paymaun Asnaashari Optometric Corporation Optometrist CurrentSince Jul 8, 2022 Accepting new patients
Helmus Optometry Optometrist PastSince Apr 17, 2019 Accepting new patients

Locations

960 Fulton Ave
#400
Sacramento, CA 95825
Phone (916) 646-9155

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1992277875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661827",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958661827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 FULTON AVE STE 400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254558",
            "telephone_number": "916-646-9155",
            "fax_number": "916-646-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASNAASHARI",
        "first_name": "PAYMAUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34187TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.