Organization
CAPITAL EYE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRA AYAZIFAR M.D. (PRESIDENT)
(916) 960-9176
Entity
Organization
Contact information
Practice address
9221 SIERRA COLLEGE BLVD, SUITE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
(916) 797-6728
Mailing address
9221 SIERRA COLLEGE BLVD, SUITE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
(916) 797-6728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C52250
CA
Other
Enumeration date
09/06/2011
Last updated
09/16/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up