Individual provider Active NPI

Duyen Cao, OD

  • Optometrist
  • San Diego, CA
National Provider Identifier
1144057829
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35838 Issued in CA
Practice address
9460 Mira Mesa Blvd Ste a
San Diego, CA 92126-4870
Phone
(858) 330-4200
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35838 CA Primary

Addresses

Primary practice location

9460 Mira Mesa Blvd Ste a
San Diego, CA 92126-4870

Mailing address

PO Box 23252
San Diego, CA 92193-3252

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
I20241104001642 CA Practitioner - Optometry 3375076987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Chung OD Optometric CorporationGroup PAC ID 2365879574, 2 clinicians

Practice addresses (Care Compare)

9460 Mira Mesa Blvd
Suite a
San Diego, CA 92126-4870
Phone (858) 566-1756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35838CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Chung OD Optometric Corporation Optometrist CurrentSince Sep 30, 2024 Accepting new patients
Steven D. Satnick OD, Apc Optometrist CurrentSince Sep 23, 2024 Accepting new patients
Torrey Pines Eye Care CurrentSince Feb 1, 2025 Accepting new patients

Locations

8950 Villa La Jolla Dr
Ste C130
La Jolla, CA 92037
Phone (858) 228-7340

9460 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (858) 330-4200

Interoperability endpoints

  • Direct secure messaging: duyen.cao@uprisedirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1144057829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23252",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921933252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 MIRA MESA BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264870",
            "telephone_number": "858-330-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "DUYEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.