Individual provider Active NPI

Tina Bui, O.D.

  • Optometrist
  • La Mesa, CA
National Provider Identifier
1497107312
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33435 Issued in CA
Practice address
5020 Baltimore Dr Ste B
La Mesa, CA 91942-0692
Phone
(619) 464-8303
Fax
(619) 464-4971
NPI assigned
Jul 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33435 CA Primary

Addresses

Primary practice location

5020 Baltimore Dr Ste B
La Mesa, CA 91942-0692

Mailing address

5020 Baltimore Dr Ste B
La Mesa, CA 91942-0692
Phone (619) 464-8303

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205000969 CA Practitioner - Optometry 1557730124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Bui OD Inc Optometrist CurrentSince Nov 14, 2024 Accepting new patients

Locations

5020 Baltimore Dr
Ste B
La Mesa, CA 91942
Phone (619) 464-8303

Organizations & group practices 1

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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1497107312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 BALTIMORE DR STE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420692",
            "telephone_number": "619-464-8303",
            "fax_number": "619-464-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 BALTIMORE DR STE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420692",
            "telephone_number": "619-464-8303",
            "fax_number": "619-464-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "TINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.