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AMELIA ANISA FANAIEYAN O.D.
NPI 1609259068
Optometrist in Orinda, CA

Active since July 02, 2015PECOS Enrolled
38 SAINT STEPHENS DR, ORINDA, CA 94563(925) 323-0000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amelia Anisa Fanaieyan O.d. NPPES

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

AMELIA ANISA FANAIEYAN O.D. (NPI 1609259068) is an individual optometrist in Orinda, California, licensed in Idaho (ODP-100340) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609259068
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAMELIA ANISA FANAIEYANCredential: O.D.
Location Address38 SAINT STEPHENS DROrinda, CA 94563-1950
Mailing Address38 Saint Stephens DrOrinda, CA 94563-1950 · (925) 323-0000
Phone(925) 323-0000
Sole ProprietorNo
Enumeration DateJuly 2, 2015
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1609259068 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 ID · ODP-100340
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.
38 SAINT STEPHENS DR, Orinda, CA 94563
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Anisa Fanaieyan 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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 94563 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.

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 Amelia Fanaieyan's NPI number?

The NPI number for Amelia Fanaieyan is 1609259068. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Amelia Fanaieyan located?

Amelia Fanaieyan practices at 38 Saint Stephens Dr, Orinda, CA 94563. The listed phone number is (925) 323-0000.

What is Amelia Fanaieyan's specialty?

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

Is Amelia Fanaieyan enrolled in Medicare?

Yes. Amelia Fanaieyan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amelia Fanaieyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amelia Fanaieyan reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Amelia Fanaieyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amelia Fanaieyan was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.