Debra Lynn McIntyre, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12145TPA Issued in CA

Practice address

6945 El Cajon Blvd
6945 El Cajon Blvd.
San Diego, CA 92115-1754

Phone

(619) 697-4600

Fax

(619) 464-5526

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Southern California College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Cataract Center and Medical Group IncGroup PAC ID 8628061306, 14 clinicians

California Eye Professionals Medical Group IncGroup PAC ID 1456252279, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_cep
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• California Cataract Center & Medical Group Inc

  • Specialist
  • Hemet, CA
  • NPI 1508815374

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• California Eye Professionals Medical Group Inc

  • Ophthalmology Physician
  • Temecula, CA
  • NPI 1649285008

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Hemet Valley Medical Center

  • General Acute Care Hospital
  • Hemet, CA
  • NPI 1508939349
  NPD (past)
• Landsaw O D P a

  • Optometrist
  • Tavernier, FL
  • NPI 1427254978
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1295810349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "address_2": "WEST COAST EYE CARE ASSOCIATES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600",
            "fax_number": "619-464-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "address_2": "6945 EL CAJON BLVD.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600",
            "fax_number": "619-464-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3252",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12145TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6805236",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6205623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leita Jani McIntosh-Koontz, MFT
• Duncan Gray McIntosh, OTR/L
• Kyle Joseph McIntosh, IDC
• Michael Joseph McIntosh, PHARM. D.
• Nicholas McIntosh, REHAB STAFF
• Donna Joanne McIntyre, NP
• Heather Rachel McIntyre
• Kaitlin McIntyre, MD
• Karina McIntyre, R.D.
• Krystol McIntyre, PSYD

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.