Individual provider Active NPI

Alexandra Lynn Scovill, OD

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1184146094
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33711-TLG Issued in CA
Practice address
Castillejos Eye Institute Medical Group
342 F Street
Chula Vista, CA 91910
Phone
(619) 422-1471
Fax
(619) 422-0114
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33711-TLG CA Primary

Addresses

Primary practice location

Castillejos Eye Institute Medical Group
342 F Street
Chula Vista, CA 91910

Mailing address

Castillejos Eye Institute Medical Group
342 F Street
Chula Vista, CA 91910-2625
Phone (619) 422-1471

Other identifiers 1

IdentifierTypeStateIssuer
OPT33711-TLGOtherCAOPTOMETRY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE)

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
I20190313001666 CA Practitioner - Optometry 3476893355 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33711CAMDOrthodontics and Dentofacial Orthopedic Dentist
OPT33711-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Castillejos Eye Institute Medical Group Optometrist CurrentSince Dec 26, 2018 Accepting new patients
Castillejos Eye Institute Medical Group Current Accepting new patients

Locations

342 F St
Chula Vista, CA 91910
Phone (619) 422-1471

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alexandra.scovill@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1184146094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP",
            "address_2": "342 F STREET",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102625",
            "telephone_number": "619-422-1471",
            "fax_number": "619-422-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP",
            "address_2": "342 F STREET",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-422-1471",
            "fax_number": "619-422-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILL",
        "first_name": "ALEXANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33711-TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPT33711-TLG",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP",
            "address_2": "342 F STREET",
            "city": "CHULA VISTA",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.