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

Individual provider Optometrist · NPI 1912866120

Genesis Atay, OD is an Optometry in Rancho Cucamonga, California. Graduated from Southern California College of Optometry in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2026
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

9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416
Phone: (909) 440-1014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT36174 (CA)

Record details

NPI number1912866120
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address14726 Ramona Ave Ste 203, Chino, CA 91710-5730

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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