Sepideh Omidghaemi, OD in Los Angeles, CA - Medicare Optometrist Provider

Sepideh Omidghaemi, OD is a medicare enrolled "Optometrist" provider in Los Angeles, California. Her current practice location is 1605 Colorado Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (818) 640-2646.

Sepideh Omidghaemi is licensed to practice in California (license number 33826TLG) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457887085.

Contact Information

	Sepideh Omidghaemi, OD
	1605 Colorado Blvd, Los Angeles, CA 90041-1402
	(818) 640-2646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sepideh Omidghaemi
Gender	Female
Speciality	Optometrist
Location	1605 Colorado Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457887085
Provider Enumeration Date: 05/02/2017
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 2062820236
Enrollment ID: I20210428001646

Medical Identifiers

Medical identifiers for Sepideh Omidghaemi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457887085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9143T (Texas)	Secondary
152W00000X	Optometrist	33826TLG (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sepideh Omidghaemi allows following entities to bill medicare on her behalf.

Provider Name	Dawn Reverspective Eyes Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720676349 PECOS PAC ID: 1153739321 Enrollment ID: O20210428001593

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sepideh Omidghaemi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sepideh Omidghaemi, OD 3817 Lockerbie Ct, Glendale, CA 91208-1024 Ph: (818) 640-2646	Sepideh Omidghaemi, OD 1605 Colorado Blvd, Los Angeles, CA 90041-1402 Ph: (818) 640-2646

Reviews and Comments

Optometrist in Los Angeles, CA

Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036
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Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033

Sepideh Omidghaemi, OD - Medicare Optometrist in Los Angeles, CA