JONATHAN JAY ATTIYAH OD
NPI 1104666445
Optometrist in Montclair, CA

Q: What is Jonathan Attiyah's NPI number?

The NPI number for Jonathan Attiyah is 1104666445. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Q: What is Jonathan Attiyah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Attiyah was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2024PECOS Enrolled

5237 ARROW HWY, MONTCLAIR, CA 91763(909) 347-7722(909) 202-4451 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2026, Jan 31, 2026 (2 updates tracked since 2026).

On this page

About Jonathan Jay Attiyah Od NPPES

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

JONATHAN JAY ATTIYAH OD (NPI 1104666445) is an individual optometrist in Montclair, California, licensed in California (OPT35897) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104666445

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJONATHAN JAY ATTIYAHCredential: OD

Location Address5237 ARROW HWYMontclair, CA 91763-1308

Mailing Address4738 Emerald AveLa Verne, CA 91750-2204 · (626) 733-7548

Phone(909) 347-7722

Fax(909) 202-4451

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 24, 2024

Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1104666445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · OPT35897

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5237 ARROW HWY, Montclair, CA 91763

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Secondary Practice Locations 2

Location 110740 Foothill BlvdRancho Cucamonga, CA 91730-3862 · Phone (909) 942-3030

Location 22443 Foothill BlvdLA Verne, CA 91750-3028 · Phone (909) 596-6756 · Fax (909) 593-0786

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Jay Attiyah Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446710891

PECOS Enrollment IDI20260903004732

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Attiyah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Attiyah Optometry And Visual Rehabilitation, PC

Same address

Health Service

5237 ARROW HWY
Montclair, CA 91763

Reassigned Medicare billing, California enrollment

NPI 1487549366 (626) 733-7548

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 6

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

ATTIYAH OPTOMETRY AND VISUAL REHABILITATION, PC

Clinic/Center (Health Service)