Individual provider Active NPI

Karen Lilyan Peschke, O.D.

  • Optometrist
  • San Marcos, CA
National Provider Identifier
1619945722
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12260T Issued in CA
Practice address
1537 Grand Ave Ste a
San Marcos, CA 92078-2424
Phone
(760) 744-3002
Fax
(760) 744-3050
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 12260T CA Primary

Addresses

Primary practice location

1537 Grand Ave Ste a
San Marcos, CA 92078-2424

Mailing address

4934 Colusa Dr
Oceanside, CA 92056-5400
Phone (818) 416-7483

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
I20040113000775 CA Practitioner - Optometry 2668372657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1537 Grand Ave
Suite a
San Marcos, CA 92078-2424
Phone (760) 744-3002

185 S Rancho Santa Fe Rd
San Marcos, CA 92078-2501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12260TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Health Optometrist Current Accepting new patients
Karen Peschke, O.D., a Professional Corporation of Optometry Optometrist CurrentSince Apr 28, 2010 Accepting new patients

Locations

1537 Grand Ave
Ste A
San Marcos, CA 92078
Phone (760) 290-3552

181 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 744-3002

185 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 744-3002

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1619945722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 COLUSA DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565400",
            "telephone_number": "818-416-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 GRAND AVE STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782424",
            "telephone_number": "760-744-3002",
            "fax_number": "760-744-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCHKE",
        "first_name": "KAREN",
        "middle_name": "LILYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12260T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.