EYEWISH OPTOMETRY
NPI 1376762229
Optometrist in Novato, CA
About Eyewish Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYEWISH OPTOMETRY (NPI 1376762229) is a healthcare organization registered as an optometrist in Novato, California and active in the NPI registry since April 2007. The organization lists Lauren Olsen, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eyewish Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Eyewish Optometry, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tania Mantua & Matt H Siu Od A Professional Corporation's NPI number?
The NPI number for Tania Mantua & Matt H Siu Od A Professional Corporation is 1376762229. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Eyewish Optometry.
Where is Tania Mantua & Matt H Siu Od A Professional Corporation located?
Tania Mantua & Matt H Siu Od A Professional Corporation is located at 7075 Redwood Blvd Ste F, Novato, CA 94945. The listed phone number is (415) 897-2997.
What is Tania Mantua & Matt H Siu Od A Professional Corporation's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tania Mantua & Matt H Siu Od A Professional Corporation enrolled in Medicare?
Yes. Tania Mantua & Matt H Siu Od A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tania Mantua & Matt H Siu Od A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Tania Mantua & Matt H Siu Od A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tania Mantua & Matt H Siu Od A Professional Corporation accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Tania Mantua & Matt H Siu Od A Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tania Mantua & Matt H Siu Od A Professional Corporation was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Eyewish Optometry · NPI 1376762229
Optometrist organization in Novato, California. Organization record, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1376762229 (Entity type: Organization)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Tania Mantua & Matt H Siu Od A Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Lauren Olsen, OFFICE MANAGER
## Practice location
- **Address:** 7075 REDWOOD BLVD STE F, Novato, CA 94945-4136
- **Phone:** (415) 897-2997 · **Fax:** (415) 898-3626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376762229) · Data from the CMS NPPES public registry.