Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephen Atallah, OD

Individual provider Optometrist · NPI 1891171062

Dr. Stephen Atallah, OD is an Optometry in Santa Rosa, California. Qualified in 2015, 11 years ago. Practices with North Bay Eye Associates, a Medical Corporation, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

380 Tesconi Ct
Santa Rosa, CA 95401-4653
Phone: (707) 544-3375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT15394 (CA)

Record details

NPI number1891171062
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 10, 2015
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address380 Tesconi Ct, Santa Rosa, CA 95401-4653

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Bay Eye Associates, A Medical Corporation — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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