Individual provider Active NPI

Tara M Viechnicki, MD

  • Ophthalmology Physician
  • Encinitas, CA
National Provider Identifier
1235156837
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101243689 Issued in VA
Practice address
477 N El Camino Real Ste C202
Encinitas, CA 92024-1332
Phone
(760) 631-3500
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101243689 VA Primary

Addresses

Primary practice location

477 N El Camino Real Ste C202
Encinitas, CA 92024-1332

Mailing address

477 N El Camino Real
Ste C202
Encinitas, CA 92024-1332
Phone (760) 631-3500

Other identifiers 1

IdentifierTypeStateIssuer
1235156837MedicaidVA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120518000270 CA Practitioner - Ophthalmology 8729980800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Drexel University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Solutions IncGroup PAC ID 5193619021, 6 clinicians

Practice addresses (Care Compare)

477 N El Camino Real
Suite C202
Encinitas, CA 92024-1332
Phone (760) 631-3500

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
93.27
Improvement activities
40
Cost
76.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Eyecare Solutions Inc Ophthalmology CurrentSince Apr 1, 2012 Accepting new patients
Retina & Vitreous Center PC PastSince Sep 1, 2020 Accepting new patients
Retina Specialists, PC Past Accepting new patients

Locations

477 N El Camino Real
Ste C202
Encinitas, CA 92024
Phone (760) 631-3500

3909 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 631-3500

1930 Via Ctr
Vista, CA 92081
Phone (760) 631-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tvierchnicki32097@scrippshlth.medalliesdirect.net
  • Direct secure messaging: tara.viechnicki@direct.morriseyegroup.nextgenshare.com

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1235156837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "STE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241332",
            "telephone_number": "760-631-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241332",
            "telephone_number": "760-631-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIECHNICKI",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101243689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235156837",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.