NPIMap

Organization Active NPI

Imperial Valley Optometric Corporation

  • Optometrist
  • El Centro, CA
National Provider Identifier
1316950207
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA11960T Issued in CA
Legal business name
IMPERIAL VALLEY OPTOMETRIC CORPORATION
Practice address
3451 S Dogwood Ave
Ste.1334
El Centro, CA 92243-7906
Phone
(760) 336-3003
Fax
(888) 210-5799
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Dr. May C. Tam, O.D.NPI 1548255896
Title
Vice President
Phone
(760) 336-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA11960T CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA11368T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA11166T CA

Addresses

Primary practice location

3451 S Dogwood Ave
Ste.1334
El Centro, CA 92243-7906

Mailing address

3451 S Dogwood Ave
Ste.1334
El Centro, CA 92243-7906
Phone (760) 336-3003

Other identifiers 1

IdentifierTypeStateIssuer
SD0119600MedicaidCA

Other names 1

  • Optom-Eyes Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000266 CA Part B Supplier - Clinic/Group Practice 7911173588 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: San Diego, CA; El Centro, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Imperial Valley Optometric Corporation14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3451 S Dogwood Rd
Ste 1324
El Centro, CA 92243

828 N Imperial Ave
El Centro, CA 92243
Phone (760) 352-7460

7007 Friars Rd
Ste 351
San Diego, CA 92108
Phone (619) 291-2020

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1316950207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD AVE",
            "address_2": "STE.1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922437906",
            "telephone_number": "760-336-3003",
            "fax_number": "888-210-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S DOGWOOD AVE",
            "address_2": "STE.1334",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922437906",
            "telephone_number": "760-336-3003",
            "fax_number": "888-210-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-336-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11960T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11368T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11166T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0119600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optom-Eyes Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.