CAPITAL EYE MEDICAL GROUP
NPI 1780234419
Ophthalmology in Grass Valley, CA
About Capital Eye Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAPITAL EYE MEDICAL GROUP (NPI 1780234419) is a healthcare organization registered as an ophthalmology in Grass Valley, California and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Grass Valley and lists Mitra Ayazifar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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)
Capital Eye Medical Group 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Capital Eye Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Capital Eye Medical Group's NPI number?
The NPI number for Capital Eye Medical Group is 1780234419. It was assigned to this organization in the NPPES registry on September 14, 2019.
Where is Capital Eye Medical Group located?
Capital Eye Medical Group is located at 123 Margaret Ln Ste A1, Grass Valley, CA 95945. The listed phone number is (530) 615-3775.
What is Capital Eye Medical Group's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Capital Eye Medical Group enrolled in Medicare?
Yes. Capital Eye Medical Group is registered in the Medicare PECOS enrollment system.
When is Capital Eye Medical Group'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 Capital Eye Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Capital Eye Medical Group. 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 Capital Eye Medical Group was last updated on April 9, 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.
# Capital Eye Medical Group · NPI 1780234419
Ophthalmology organization in Grass Valley, California. Organization record, active in the CMS NPPES registry since September 14, 2019.
## Identity
- **NPI:** 1780234419 (Entity type: Organization)
- **Enumerated:** September 14, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Mitra Ayazifar, OWNER
## Practice location
- **Address:** 123 MARGARET LN STE A1, Grass Valley, CA 95945-5268
- **Phone:** (530) 615-3775 · **Fax:** (530) 298-9223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780234419) · Data from the CMS NPPES public registry.