DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
NPI 1033319215
Optometrist - Corneal and Contact Management in Antioch, CA

Q: What is Sanaz Aboutalebi-simon's NPI number?

The NPI number for Sanaz Aboutalebi-simon is 1033319215. It was assigned to this individual provider in the NPPES registry on July 24, 2007. The provider is also known as Dr. Stacy Aboutalebi O.D..

Q: What is Sanaz Aboutalebi-simon's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Active since July 24, 2007PECOS Enrolled

3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC., ANTIOCH, CA 94509(925) 779-5223(925) 779-5421 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sanaz Stacy Aboutalebi-simon O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANAZ STACY ABOUTALEBI-SIMON O.D. (NPI 1033319215) is an individual corneal and contact management provider in Antioch, California, licensed in California (12259T) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033319215

Entity TypeIndividualFemale

Primary Taxonomy152WC0802X

Provider Legal NameDR. SANAZ STACY ABOUTALEBI-SIMONCredential: O.D.

Location Address3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.Antioch, CA 94509-4004

Mailing Address2640 Buena Vista AveWalnut Creek, CA 94597-2502 · (925) 726-9711

Phone(925) 779-5223

Fax(925) 779-5421

Sole ProprietorNo

Enumeration DateJuly 24, 2007

Last NPPES UpdateJanuary 26, 2022

NPPES CertifiedJanuary 26, 2022

✔ NPI 1033319215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in CA · 12259T

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

3400 DELTA FAIR BLVD, Antioch, CA 94509

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Other Names 1

Other Name (5)Dr. Stacy Aboutalebi O.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanaz Stacy Aboutalebi-simon O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW ROBERT WHITE PT

Physical Therapist