MARYAM MEHRZAD OD
NPI 1891382495
Optometrist in San Diego, CA

Q: What is Maryam Mehrzad's NPI number?

The NPI number for Maryam Mehrzad is 1891382495. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Maryam Mehrzad'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 Maryam Mehrzad was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 29, 2020PECOS EnrolledAccepts Medicare Assignment

4650 PALM AVE, SAN DIEGO, CA 92154(858) 335-9116 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Maryam Mehrzad Od NPPES

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

MARYAM MEHRZAD OD (NPI 1891382495) is an individual optometrist in San Diego, California, licensed in California (34745) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891382495

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMARYAM MEHRZADCredential: OD

Location Address4650 PALM AVESan Diego, CA 92154-8404

Mailing Address739 Mockingbird CirEscondido, CA 92025-7455 · (858) 335-9116

Phone(858) 335-9116

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2020

Last NPPES UpdateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1891382495 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 · 34745

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.

4650 PALM AVE, San Diego, CA 92154

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Secondary Practice Location 1

Location 14060 Fairmount AveSan Diego, CA 92105-1608 · Phone (619) 255-9155

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryam Mehrzad Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133536089

PECOS Enrollment IDI20210322001164

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92154 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 20

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

SAMANTHA DAVIS RAMOS PHARM.D.

Pharmacist