Individual provider Active NPI

Catherine Egusa, O.D.

  • Optometrist
  • Vista, CA
National Provider Identifier
1326093394
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11628T Issued in CA
Practice address
1840 West Dr
Suite 107
Vista, CA 92083-6115
Phone
(760) 643-2084
Fax
(760) 643-2099
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11628T CA Primary
Optometrist 152W00000X OD-579 HI
Optometrist 152W00000X OD0000002403 TN

Addresses

Primary practice location

1840 West Dr
Suite 107
Vista, CA 92083-6115

Mailing address

1840 West Dr
Suite 107
Vista, CA 92083-6115
Phone (760) 643-2084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11628TCAMDOptometrist
OD-579HIMDOptometrist
OD0000002403TNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326093394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 WEST DR",
            "address_2": "SUITE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836115",
            "telephone_number": "760-643-2084",
            "fax_number": "760-643-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEST DR",
            "address_2": "SUITE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836115",
            "telephone_number": "760-643-2084",
            "fax_number": "760-643-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUSA",
        "first_name": "CATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11628T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-579",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.