MERCEDEH MOTAMENI, O.D., AN OPTOMETRIC CORPORATION
NPI 1437422185
Optometrist in Culver City, CA

Active since February 10, 2012
4125 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 391-6311(310) 390-1874 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mercedeh Motameni, O.d., An Optometric Corporation NPPES

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

MERCEDEH MOTAMENI, O.D., AN OPTOMETRIC CORPORATION (NPI 1437422185) is a healthcare organization registered as an optometrist in Culver City, California and active in the NPI registry since February 2012. The organization lists Mercedeh Motameni, Optometrist, Owner, as its authorized official.

NPPES Registry Identity

NPI1437422185
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMERCEDEH MOTAMENI, O.D., AN OPTOMETRIC CORPORATION
Location Address4125 SEPULVEDA BLVDCulver City, CA 90230-4706
Mailing Address4125 Sepulveda BlvdCulver City, CA 90230-4706 · (310) 391-6311 · Fax (310) 390-1874
Fax(310) 390-1874
Organization SubpartNo
Authorized OfficialMercedeh MotameniOptometrist, Owner · (310) 391-6311
Enumeration DateFebruary 10, 2012
Last NPPES UpdateJanuary 10, 2017
✔ NPI 1437422185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 9453T
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 9453T (CA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 9453T (CA)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 9453T (CA)
4125 SEPULVEDA BLVD, Culver City, CA 90230

Other Identifiers 3

MedicaidSD0094530CA
Medicare PINFU109ACA
Medicare UPINU38159CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercedeh Motameni, O.d., An Optometric Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120215000766Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mercedeh Motameni, O.D., An Optometric Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1841343647
4125 SEPULVEDA BLVD
Culver City, CA 90230
(310) 391-6311
✔ PECOS✔ Accepts MedicareSame address

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 Mercedeh Motameni, O.D., An Optometric Corporation's NPI number?

The NPI number for Mercedeh Motameni, O.D., An Optometric Corporation is 1437422185. It was assigned to this organization in the NPPES registry on February 10, 2012.

Where is Mercedeh Motameni, O.D., An Optometric Corporation located?

Mercedeh Motameni, O.D., An Optometric Corporation is located at 4125 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 391-6311.

What is Mercedeh Motameni, O.D., An Optometric Corporation's specialty?

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

Is Mercedeh Motameni, O.D., An Optometric Corporation enrolled in Medicare?

Yes. Mercedeh Motameni, O.D., An Optometric Corporation is registered in the Medicare PECOS enrollment system.

When is Mercedeh Motameni, O.D., An Optometric Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mercedeh Motameni, O.D., An Optometric Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mercedeh Motameni, O.D., An Optometric 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mercedeh Motameni, O.D., An Optometric Corporation was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.