Kidisti Ghebre Mariam, OD
NPI 1477508331ActiveIndividual· Optometrist· Antioch, CA
Optometrist (OD) in Antioch, California, licensed in CA, with an NPI issued in May 2006. Coopervision Inc. was the largest of 2 companies reporting payments in 2025, $35.37 in all, mostly food and beverage.
Overview
| NPI | 1477508331 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | May 22, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 11703T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$35.37 · 2 payments from 2 companies
- 2024$19.68 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $18.19 | 1 |
| Alcon Vision LLC | $17.18 | 1 |
What the 2025 payments were for
- Food and Beverage$35.37 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 optometrists in Antioch · All optometrists in California