Organization Active NPI

Eyecare for Vision Optometry, Inc

  • Clinic/Center
  • San Diego, CA
National Provider Identifier
1548067655
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EYECARE FOR VISION OPTOMETRY, INC
Practice address
16516 Bernardo Center Dr Ste 300
San Diego, CA 92128-2552
Phone
(619) 302-0371
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Patty L Cheng, ODNPI 1265526263
Title
Optometrist
Phone
(619) 665-3769

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

16516 Bernardo Center Dr Ste 300
San Diego, CA 92128-2552

Mailing address

6755 Mira Mesa Blvd Ste 123-173
San Diego, CA 92121-4392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620003005 CA Part B Supplier - Clinic/Group Practice 9234654872 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

16516 Bernardo Center Dr
Ste 300
San Diego, CA 92128
Phone (619) 302-0371

6755 Mira Mesa Blvd
Ste 123173
San Diego, CA 92121

6755 Mira Mesa Blvd
#123173
San Diego, CA 92121

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1548067655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 123-173",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16516 BERNARDO CENTER DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282552",
            "telephone_number": "619-302-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOR VISION OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-665-3769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2025; 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.