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

Maryam Mirzaei, OD

Individual provider Student Health Clinic/Center · NPI 1508536343

Maryam Mirzaei, OD is an Optometry in Long Beach, California. Graduated from Southern California College of Optometry in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2021
Specialties on file
3
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

2925 Palo Verde Ave
Long Beach, CA 90815-1552
Phone: (562) 799-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35032 (CA)
Student Health Clinic/Center Taxonomy 261QS1000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508536343
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESDecember 22, 2023
Certification dateApril 12, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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