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CAPITAL EYE MEDICAL GROUP
NPI 1962783928
Ophthalmology in Roseville, CA

Active since September 06, 2011
9221 SIERRA COLLEGE BLVD, SUITE 130, ROSEVILLE, CA 95661(916) 797-6747(916) 797-6728 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2019, Dec 19, 2016 (2 updates tracked since 2016).

About Capital Eye Medical Group NPPES

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

CAPITAL EYE MEDICAL GROUP (NPI 1962783928) is a healthcare organization registered as an ophthalmology in Roseville, California and active in the NPI registry since September 2011. The organization lists Mitra Ayazifar, President, as its authorized official.

NPPES Registry Identity

NPI1962783928
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCAPITAL EYE MEDICAL GROUP
Location Address9221 SIERRA COLLEGE BLVD, SUITE 130Roseville, CA 95661-5919
Mailing Address9221 Sierra College Blvd, Suite 130Roseville, CA 95661-5919 · (916) 797-6747 · Fax (916) 797-6728
Phone(916) 797-6747
Fax(916) 797-6728
Organization SubpartNo
Authorized OfficialMitra AyazifarPresident · (916) 960-9176
Enumeration DateSeptember 6, 2011
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
✔ NPI 1962783928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · C52250
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9221 SIERRA COLLEGE BLVD, Roseville, CA 95661
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111209000146Non-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 Capital Eye Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mitra Ayazifar, MD
Ophthalmology
NPI 1972520641
9221 SIERRA COLLEGE BLVD SUITE 130
Roseville, CA 95661
(916) 797-6747
✔ 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 Capital Eye Medical Group's NPI number?

The NPI number for Capital Eye Medical Group is 1962783928. It was assigned to this organization in the NPPES registry on September 6, 2011.

Where is Capital Eye Medical Group located?

Capital Eye Medical Group is located at 9221 Sierra College Blvd Suite 130, Roseville, CA 95661. The listed phone number is (916) 797-6747.

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 September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.