Alyssa Teresa Pack

Primary specialty

OptometristTaxonomy code 152W00000X

License

34608 Issued in CA

Practice address

890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914-4521

Phone

(619) 216-3937

NPI assigned

Aug 8, 2020

Last updated

Aug 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pack and Nguyen OptometryGroup PAC ID 4385018175, 2 clinicians

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pack & Nguyen Optometry

  • Optometrist
  • La Jolla, CA
  • NPI 1912614454
  Medicare reassignment Care Compare group NPD
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• John C Pack, O.D. and Beverly Bianes, O.D. Inc

  • Optometrist
  • Chula Vista, CA
  • NPI 1255396461
  NPD
• Olivia K. DO, O.D., a Professional Optometric Corporation

  dba ODO Eye Care Optometry

  • Optometrist
  • La Jolla, CA
  • NPI 1578957775
  NPD
• Bonita Point Family Optometry, Inc.

  • Optometrist
  • Bonita, CA
  • NPI 1265637714
  NPD (past)
• Robert J Joyce OD Apc

  dba Mission Optometry

  • Optometrist
  • Lake Elsinore, CA
  • NPI 1134395585
  NPD (past)
• Robert J. Joyce O.D.

  • Optometrist
  • Lake Elsinore, CA
  • NPI 1760677512
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  dba Total Vision Care Advanced Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1750991220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 MANSIONES LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107914",
            "telephone_number": "619-632-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 EASTLAKE PKWY STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144521",
            "telephone_number": "619-216-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "ALYSSA",
        "middle_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Interpreters, Inc.
• Pacific Coast Referral Services
• Pacific Pointe
• Pacific Rim Pathology Medical Corporation
• Pacifica Bonita LP (Pacifica Senior Living Bonita)
• John C Pack, OD
• Todd Webster Pacofsky, DMD
• Florence Agagas Pacrem, RN
• Yolanda Paderes
• Daisy Padilla Flores

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.