Individual provider Active NPI

Elesha Rae Starkey, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1063645489
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4755 Issued in MA
Practice address
12880 Carmel Country Rd Ste D110
San Diego, CA 92130-3137
Phone
(858) 289-4820
Fax
(619) 349-5864
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4755 MA Primary

Addresses

Primary practice location

12880 Carmel Country Rd Ste D110
San Diego, CA 92130-3137

Mailing address

12880 Carmel Country Rd Ste D110
San Diego, CA 92130-3137
Phone (858) 289-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818002497 CA Practitioner - Optometry 0648309831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

2540 El Camino Real
Suite B
Carlsbad, CA 92008-1286
Phone (760) 729-9353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Aug 12, 2019 Accepting new patients
John C Pack, O.D. and Beverly Bianes, O.D. Inc Optometrist PastSince May 11, 2025 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

2540 El Camino Real
Ste B
Carlsbad, CA 92008
Phone (760) 729-9353

681 Encinitas Blvd
Ste 302
Encinitas, CA 92024
Phone (760) 436-1877

1454 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 753-6336

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

12880 Carmel Country Rd
San Diego, CA 92130
Phone (858) 350-1302

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1063645489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 CARMEL COUNTRY RD STE D110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303137",
            "telephone_number": "858-289-4820",
            "fax_number": "619-349-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 CARMEL COUNTRY RD STE D110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303137",
            "telephone_number": "858-289-4820",
            "fax_number": "619-349-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEY",
        "first_name": "ELESHA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.