Individual provider · Type 1 NPI

Melody Deborah Tavakoli, OD

Optometrist · La Jolla, CA

NPI number 1154623254 Active

Practice location

5702 La Jolla Blvd Ste 102
La Jolla, CA 92037-7322

Fax (858) 587-2600

Mailing address

4276 Mount Herbert Ave
San Diego, CA 92117-4723

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X14039 (CA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1154623254

Melody Deborah Tavakoli, OD's National Provider Identifier is 1154623254, issued on Nov 22, 2010. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in La Jolla, CA. The record was last updated on Oct 19, 2026.