NPIMap

Organization Active NPI

Imperial Valley Optometric Corporation

Doing business as Scripps Poway Eyecare & Optometry

  • Optometrist
  • San Diego, CA
National Provider Identifier
1518858208
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IMPERIAL VALLEY OPTOMETRIC CORPORATION
Doing business as
Scripps Poway Eyecare & Optometry
Practice address
10549 Scripps Poway Pkwy Ste G
San Diego, CA 92131-3963
Phone
(858) 530-2800
NPI assigned
Jul 11, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Henry LinNPI 1861405664
Title
President
Phone
(619) 295-2900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

10549 Scripps Poway Pkwy Ste G
San Diego, CA 92131-3963

Mailing address

10549 Scripps Poway Pkwy Ste G
San Diego, CA 92131-3963
Phone (858) 530-2800

Other names 1

  • Scripps Poway Eyecare & Optometry Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2168026Scripps Poway Eyecare and Optometry10549 Scripps Poway Parkway G, San Diego, CA 92131Certificate of waiverJun 18, 2027

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1518858208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PKWY STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313963",
            "telephone_number": "858-530-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PKWY STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313963",
            "telephone_number": "858-530-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-295-2900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Poway Eyecare & Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.