NPIMap

Organization Active NPI

Gary L. Englund, OD, Apc

Doing business as Optometric Care Associates

  • Optometrist
  • Los Osos, CA
National Provider Identifier
1356530638
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARY L. ENGLUND, OD, APC
Doing business as
Optometric Care Associates
Practice address
2231 Bayview Heights Dr
Los Osos, CA 93402-3900
Phone
(805) 528-5333
NPI assigned
Oct 23, 2007
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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)CodeLicenseStatePrimary
Optometrist 152W00000X CA Primary

Addresses

Primary practice location

2231 Bayview Heights Dr
Los Osos, CA 93402-3900

Mailing address

2238 Bayview Heights Dr Ste E
Los Osos, CA 93402-3932
Phone (805) 528-5333

Other identifiers 1

IdentifierTypeStateIssuer
SD0062080MedicaidCA

Other names 1

  • Optometric Care Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050610000886 CA Part B Supplier - Clinic/Group Practice 8628012697 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Los Osos, CA; Paso Robles, CA
O20100930076397 CA DME Supplier - Physician - Optometrist 8628012697 Practice locations: Los Osos, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Optometric Care Associates2231 Bayview Heights Dr, Los Osos, CA 93402-3900(805) 528-5333 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Gary L Englund OD Apc2 organizations share this tax ID, including this one

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
Ste E
Los Osos, CA 93402
Phone (805) 528-5333

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1356530638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 BAYVIEW HEIGHTS DR STE E",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023932",
            "telephone_number": "805-528-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BAYVIEW HEIGHTS DR",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023900",
            "telephone_number": "805-528-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. ENGLUND, OD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "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": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Care Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optometric Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Osos, 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.

Verify at the official NPI Registry.