DR. REZAH SHOVAL MOHAMED (NPI# 1104098292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104098292 |
| Entity Type | Individual |
| Full Name | DR. REZAH SHOVAL MOHAMED |
| Other Name | DR. REZAH SHOVAL MOHAMED |
| Credential | D.O |
| Practice Address |
17310 Bear Valley Road Suite 101 Victorville CA 92395 |
| Mailing Address |
1537 W 7th Street Apt 214 Upland CA 91786 |
| Practice Telephone | 7602414499 |
| Practice Fax Number | 7602439474 |
| Mailing Telephone | 3122863193 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CA12960 | CA | Eye and Vision Services Providers |
| Street Address |
17310 BEAR VALLEY ROAD SUITE 101 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036646 | Dr.juliane Lee,optometrist, A Professional Corporation | Optometrist | 14309 Bear Valley Rd Ste B, Victorville, CA 92392-7648 | 2020-09-02 |
| 1811541097 | Cindy Nguyen | Optometrist | 12044 Dunia Rd Ste G, Victorville, CA 92392-7650 | 2019-07-26 |
| 1760858872 | Purevision Optometry | Optometrist | 14420 Bear Valley Rd, Victorville, CA 92392-5404 | 2015-08-12 |
| 1306132063 | Hieu Doan | Optometrist | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2011-06-21 |
| 1336385574 | Robert Koppany | Optometrist | 15908 Bear Valley Rd # A, Victorville, CA 92395-9547 | 2008-12-17 |
| 1629278148 | Thomas Kan Lee | Optometrist | 14601 Valley Center Drive, Victorville, CA 92392-4216 | 2007-07-23 |
| 1003015041 | Sheila M. Bartlett A Professional Corporation | Optometrist | 15908 Bear Valley Rd, Victorville, CA 92395-9547 | 2007-07-11 |
| 1427104868 | Kyle J Schell | Optometrist | 12370 Hesperia Rd Ste 11, Victorville, CA 92395-4787 | 2007-01-26 |
| 1235210683 | Daryl E Katz | Optometrist | 14400 Bear Valley Road, Suite 204, Victorville, CA 92392-5470 | 2006-10-18 |
| 1619917655 | Richard Norris York | Optometrist | 13024 Hesperia Rd, Suite 102, Victorville, CA 92395-8302 | 2006-06-07 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.