| Maryam Nassiri Tousi, | |
| 200 Minor Hall, Berkeley, CA 94720-0001 | |
| (510) 642-2020 | |
| Not Available | 
| Full Name | Maryam Nassiri Tousi | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 200 Minor Hall, Berkeley, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871258210 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 35033 (California) | Primary | 
| Provider Name | Alameda Health System | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 | 
| Provider Name | University Of California San Francisco | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 | 
| Provider Name | Ucsf Medical Group Business Services | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 | 
| Provider Name | City & County Of San Francisco | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 | 
| Provider Name | Regents Of The University Of California At Berkeley | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1306908058 PECOS PAC ID: 8628083110 Enrollment ID: O20060221000349 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maryam Nassiri Tousi, 2640 Shattuck Avenue Apt 404, Berkeley, CA 94704 Ph: (617) 717-8438 | Maryam Nassiri Tousi, 200 Minor Hall, Berkeley, CA 94720-0001 Ph: (510) 642-2020 | 
| Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025 | |
| Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945 | |
| Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266 | |
| Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109 | |
| Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020 | |
| Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945 |