NPIMap

Imperial Valley Optometric Corporation

A Medicare group practice based in San Diego, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911173588), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911173588The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120103000266 CA Part B Supplier - Clinic/Group Practice 1316950207

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (6).

Sources for this page