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

NPI Status: Active since July 24, 2007

Contact Information

3400 DELTA FAIR BLVD
THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA
ZIP 94509
Phone: (925) 779-5223
Fax: (925) 779-5421

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Optometrist
Corneal and Contact Management
PECOS Enrolled

About SANAZ ABOUTALEBI-SIMON

This page provides the complete NPI Profile along with additional information for Sanaz Aboutalebi-simon, a provider established in Antioch, California with a medical specialization in Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1033319215 assigned on July 2007. The practitioner's primary taxonomy code is 152WC0802X with license number 12259T (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI: 1033319215
Provider Name: DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
Other Name: DR. STACY ABOUTALEBI O.D.
Other Name Type: Other Name (5)
Gender: Female
Entity Type: Individual
Location Address: 3400 DELTA FAIR BLVD THE PERMANENTE MEDICAL GROUP, INC. ANTIOCH, CA 94509
Location Phone: (925) 779-5223
Location Fax: (925) 779-5421
Mailing Address: 2640 BUENA VISTA AVE WALNUT CREEK, CA 94597
Mailing Phone: (925) 726-9711
Is Sole Proprietor?: No
Enumeration Date: 07-24-2007
Last Update Date: 01-26-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Optometrist Corneal and Contact Management
Taxonomy Code: 152WC0802X
Type: Eye and Vision Services Providers
License No.: 12259T
License State: CA
Taxonomy Description: 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.

Medicare Participation & PECOS Enrollment Status

Sanaz Aboutalebi-simon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94509 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $153.83
Minimum New Patient Price $69
Maximum New Patient Price $202.35

Average New Patient Copayment $38.45
Minimum New Patient Copayment $17.25
Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $84.91
Minimum Established Patient Price $23.44
Maximum Established Patient Price $166.46

Average Established Patient Copayment $21.22
Minimum Established Patient Copayment $5.86
Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033319215, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 6

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 6 + 1 + 1 + 8 + 2 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1033319215.