Individual provider Active NPI

Sharon Michelle Dyer

  • Optometrist
  • San Diego, CA
National Provider Identifier
1063866887
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33450-TLG Issued in CA
Practice address
6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone
(619) 697-4600
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33450-TLG CA Primary

Addresses

Primary practice location

6945 El Cajon Blvd
San Diego, CA 92115-1754

Mailing address

6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone (619) 697-4600

Other practice location 1

73180 El Paseo
Palm Desert, CA 92260-4218
Phone (760) 437-9980

Other practice location 2

2323 16th St Ste 400
Bakersfield, CA 93301-3454
Phone (661) 479-0757

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
I20170403002195 CA Practitioner - Optometry 6204124233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT33450-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Eye Medical Group Inc Optometrist CurrentSince Dec 1, 2017 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Dec 1, 2017 Accepting new patients
Trilogy Eye Medical Group, Inc Optometrist Past Accepting new patients

Locations

1620 Alpine Blvd
Ste 117
Alpine, CA 91901
Phone (619) 445-2687

288 N Santa Anita Ave
Ste 103
Arcadia, CA 91006
Phone (626) 829-8185

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

2323 16th St
Ste 400
Bakersfield, CA 93301
Phone (661) 336-0400

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

225 W Madison Ave
Ste 1
El Cajon, CA 92020
Phone (619) 327-0146

450 Fletcher Pkwy
Ste 112
El Cajon, CA 92020
Phone (619) 440-5400

320 Santa Fe Dr
Ste 104
Encinitas, CA 92024
Phone (760) 943-0501

700 W El Norte Pkwy
#200
Escondido, CA 92026

12828 Harbor Blvd
Ste 305
Garden Grove, CA 92840
Phone (714) 534-8100

81952 US Highway 111
Ste B
Indio, CA 92201
Phone (442) 300-9209

9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460

5565 Grossmont Center Dr
Ste 551
La Mesa, CA 91942
Phone (619) 465-2020

655 Euclid Ave
Ste 302
National City, CA 91950
Phone (619) 472-1010

73271 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (213) 234-1000

73180 El Paseo
Palm Desert, CA 92260
Phone (760) 346-3810

44139 Monterey Ave
Ste A
Palm Desert, CA 92260
Phone (760) 469-5195

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

6906 Brockton Ave
#6
Riverside, CA 92506

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

1403 N Tustin Ave
#399
Santa Ana, CA 92705

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1063866887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73180 El Paseo",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922604218",
            "country_code": "US",
            "telephone_number": "760-437-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 16th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013454",
            "country_code": "US",
            "telephone_number": "661-479-0757",
            "fax_number": "661-634-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "SHARON",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33450-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.