NATALY M FAHIM (O.D) – Optometrist, NPI 1104156629

NATALY M FAHIM (O.D) is a healthcare provider. based in Pomona, California. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. 14098TLG (CA). The NPI Number for NATALY M FAHIM (O.D) is 1104156629

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
NATALY M FAHIM (O.D)
NPI
1104156629
Phone
(909) 469-8773
Address
795 E SECOND STREET
Enumeration Date
5 January 2010
Last Update Date
2 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9094698673
Graduation Year
2004 (22 years ago)
PAC ID
1951525252
Group Practice PAC ID
0648208991
Professional Enrollment ID
I20140606000273
Address ID
CA917662007PO795XXSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for NATALY M FAHIM (O.D)

  • Second Street, Walnut Hills Mobile Home Park, Pomona, Los Angeles County, California, 91765, United States

    SUITE 2

    POMONA, CA 917662007

    Phone: (909) 469-8773

    Fax: (909) 469-5228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,885.

Total Amount is formed as General ($1,885) + Research ($0) + Ownership ($0) = $1,885.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Alcon Vision LLC ($1,497).

Total Amount

$1,885

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,885

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140606000273IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91766)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648208991View full group profile
NameSpecialtyState
O P T O M E T R YCA
Family PracticeCA
-CA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
Psychiatry, Geriatric Psychiatry, NeuropsychiatryCA
Osteopathic Manipulative MedicineCA
P O D I A T R YCA
Family PracticeCA

Reviews

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Frequently asked questions

Does NATALY M FAHIM (O.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NATALY M FAHIM (O.D) uses 1104156629.
Does CMS list NATALY M FAHIM (O.D) as active?
Yes — NATALY M FAHIM (O.D) is active in the NPI listing used on this page.
What is NATALY M FAHIM (O.D)'s primary classification?
Optometrist is the headline specialty for NATALY M FAHIM (O.D) here. Clinical services aligned with this taxonomy classification.
Where should I expect NATALY M FAHIM (O.D) on a map?
Expect Pomona, California as a primary anchor for NATALY M FAHIM (O.D) unless the record lists multiple sites.
Why does NATALY M FAHIM (O.D) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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