BENICA EYVAZZADEH (O.D.) – Optometrist, NPI 1225070600

BENICA EYVAZZADEH (O.D.) is a healthcare provider. based in Thousand oaks, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT10222 (CA). The NPI Number for BENICA EYVAZZADEH (O.D.) is 1225070600

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
BENICA EYVAZZADEH (O.D.)
NPI
1225070600
Phone
(805) 497-3744
Address
351 ROLLING OAKS DR
Enumeration Date
12 June 2006
Last Update Date
8 July 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8054973744
Graduation Year
1993 (33 years ago)
PAC ID
0648245746
Group Practice PAC ID
4082682034
Professional Enrollment ID
I20040901000377
Address ID
CA913611279TH351XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

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Provider Addresses for BENICA EYVAZZADEH (O.D.)

  • 351, Rolling Oaks Drive, Thousand Oaks, Ventura County, California, 91361, United States

    102

    THOUSAND OAKS, CA 913611275

    Phone: (805) 497-3744

    Fax: (805) 497-1663

    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 25 Open Payments records for all available years, with a total value of $654.

Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($207).

Total Amount

$654

General + Research + Ownership

Payments

25

Total payment records

General Amount

$654

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

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: 2004-09-01

PECOS data refreshed: 2026-06-15

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
I20040901000377IOptometryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system358321$0
99212Established patient office or other outpatient visit, 10-19 minutes162128$0
99213Established patient office or other outpatient visit, 20-29 minutes7162$0
92083Exam of visual field with extended testing6259$0
92134Imaging of retina5553$0
View full utilization report →

Insurance plans in this area (ZIP 91361)

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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: 4082682034View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
-CA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

What is the standard ID for BENICA EYVAZZADEH (O.D.) in the U.S.?
In the U.S., BENICA EYVAZZADEH (O.D.) is identified by NPI 1225070600.
Is BENICA EYVAZZADEH (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists BENICA EYVAZZADEH (O.D.) as active.
How should patients interpret BENICA EYVAZZADEH (O.D.)'s specialty?
The extract shows Optometrist for BENICA EYVAZZADEH (O.D.). Clinical services aligned with this taxonomy classification.
Can patients visit BENICA EYVAZZADEH (O.D.) in Thousand Oaks, California?
For routing, start with Thousand Oaks, California for BENICA EYVAZZADEH (O.D.), then verify phone and hours locally.
Can I export BENICA EYVAZZADEH (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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