Active NPI
Gary L. Englund, OD, Apc
Doing business as Optometric Care Associates
- Optometrist
- Paso Robles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- BOL 2984
- Legal business name
- GARY L. ENGLUND, OD, APC
- Doing business as
- Optometric Care Associates
- Practice address
- 1112 Vine St
Paso Robles, CA 93446-5505 - Phone
- (805) 238-1001
- NPI assigned
- Aug 3, 2006
- Last updated
- Oct 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Alviso
- Title
- Practice Manager
- Phone
- (805) 238-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | BOL 2984 | CA | Primary |
Addresses
Primary practice location
1112 Vine St
Paso Robles, CA 93446-5505
Mailing address
1112 Vine St
Paso Robles, CA 93446-5505
Phone (805) 238-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD001440 | Medicaid | CA |
Other names 1
- Optometric Care Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000886 | CA | Part B Supplier - Clinic/Group Practice | 8628012697 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Osos, CA; Paso Robles, CA |
| O20100930074405 | CA | DME Supplier - Physician - Optometrist | 8628012697 | Practice locations: Paso Robles, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Optometric Care Associates
- Optometrist
- Los Osos, CA
- NPI 1356530638
8628012697
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Optometric Care Associates
- Optometrist
- Los Osos, CA
- NPI 1356530638
O20050610000886
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Optometric Care Associates | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Gary L Englund OD Apc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2231 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-5333
2238 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-2511
2238 Bayview Heights Dr
Ste E
Los Osos, CA 93402
Phone (805) 528-5333
1112 Vine St
Paso Robles, CA 93446
Phone (805) 238-1001
1112 Vine St
Ste B
Paso Robles, CA 93446
Phone (805) 238-1001
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Paso Robles, CA
- NPI 1902869621
-
- Optometrist
- Los Osos, CA
- NPI 1508856386
-
- Optometrist
- Paso Robles, CA
- NPI 1821052176
-
- Vision Therapy Optometrist
- Paso Robles, CA
- NPI 1386678860
-
- Optometrist
- Los Osos, CA
- NPI 1043624836
-
- Optometrist
- San Antonio, TX
- NPI 1336985241
-
- Optometrist
- Montgomery, AL
- NPI 1740815505
-
- Optometrist
- Los Osos, CA
- NPI 1104751486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1184632390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 VINE ST",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934465505",
"telephone_number": "805-238-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 VINE ST",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934465505",
"telephone_number": "805-238-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY L. ENGLUND, OD, APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A",
"authorized_official_last_name": "ALVISO",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "805-238-1001"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "BOL 2984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD001440",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Optometric Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.