Kendall Scott George, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34270 Issued in CA

Practice address

931 Anza Ave Ste B
Vista, CA 92084-4531

Phone

(760) 758-2340

NPI assigned

Jul 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Optometric CorpGroup PAC ID 3072925551, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• George Optometric Corp

  • Optometrist
  • Vista, CA
  • NPI 1669086211
  Medicare reassignment Care Compare group
• Foster and Garff Surgical Associates Inc

  • Ophthalmologic Surgery Clinic/Center
  • Oceanside, CA
  • NPI 1700664844
  NPD (past)
• Gary L Barnes OD Optometric Corporation

  • Preferred Provider Organization
  • Vista, CA
  • NPI 1255500757
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1619529948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 ANZA AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844531",
            "telephone_number": "760-758-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 ANZA AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844531",
            "telephone_number": "760-758-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KENDALL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Optometric Corp
• George R Braithwaite
• Bijil George
• Bruce D George, OD
• Jina Ann George, R.D.,
• Sarah Rochelle Salazar Gervacio Rivera, APCC
• Gestring Chiropractic Corporation
• Jason Gestring, D.C.
• Manmohan Ghale-Mudan, DDS
• Ray Ghougassian, R.PH.

• Optometrist in Vista, CA
• Providers in Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.