1. Home
  2. Directory
  3. California
  4. Rancho Cucamonga
  5. Optometrist
  6. NPI Profile

GENESIS ATAY OD
NPI 1912866120
Optometrist in Rancho Cucamonga, CA

Active since January 22, 2026PECOS Enrolled
9170 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730(909) 440-1014 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Jan 22, 2026 (2 updates tracked since 2026).

About Genesis Atay Od NPPES

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

GENESIS ATAY OD (NPI 1912866120) is an individual optometrist in Rancho Cucamonga, California, licensed in California (OPT36174) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2025).

NPPES Registry Identity

NPI1912866120
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGENESIS ATAYCredential: OD
Location Address9170 HAVEN AVE STE 102Rancho Cucamonga, CA 91730-5416
Mailing Address14726 Ramona Ave Ste 203Chino, CA 91710-5730 · (626) 305-9100 · Fax (626) 305-0152
Phone(909) 440-1014
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2025
Enumeration DateJanuary 22, 2026
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1912866120 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 · OPT36174
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.
9170 HAVEN AVE STE 102, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Atay Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163903899
PECOS Enrollment IDI20260220002503
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 Genesis Atay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Azul Vision Inc.
30 mi
Ophthalmology
2619 E COLORADO BLVD # 150
Pasadena, CA 91107
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1285247528 (626) 793-4168

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 91730 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 5

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

SYLVIA LOU CHANG
Ophthalmology
9170 HAVEN AVE STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 440-1014
CHRISTINA LIM OD
Optometrist
9170 HAVEN AVE STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 440-1014
PHOEBE CHEN OD
Optometrist
9170 HAVEN AVE STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 440-1014
DR. CORINNE FRANCINE WONG OD
Optometrist
9170 HAVEN AVE STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 440-1014
KEVIN H TRAN O.D.
Optometrist
9170 HAVEN AVE STE 102
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 440-1014

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 Genesis Atay's NPI number?

The NPI number for Genesis Atay is 1912866120. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Genesis Atay located?

Genesis Atay practices at 9170 Haven Ave Ste 102, Rancho Cucamonga, CA 91730. The listed phone number is (909) 440-1014.

What is Genesis Atay's specialty?

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

Is Genesis Atay enrolled in Medicare?

Yes. Genesis Atay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Genesis Atay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genesis Atay reassigns Medicare benefits to Azul Vision Inc. (Pasadena, 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 Genesis Atay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genesis Atay accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Genesis Atay 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 Genesis Atay was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.