Alexander Song, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35435 Issued in CA

Practice address

2653 Gateway Rd Ste 101
Carlsbad, CA 92009-1758

Phone

(760) 476-1921

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Sex

Male

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, NV2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alex W Song OD PLLC

  dba Optiluxe Optometry

  • Optometrist
  • Las Vegas, NV
  • NPI 1033967872
  Medicare reassignment NPD Authorized official
• Fourth Optometric Care of California

  dba Mt View Optometry and Contact Lens Clinic

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment NPD
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD
• Fourth Optometric Care of California

  dba Carlsbad Optometry

  • Optometrist
  • Carlsbad, CA
  • NPI 1952019614
  NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1770276750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10692 CAMINITO DURO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262803",
            "telephone_number": "858-880-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 GATEWAY RD STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091758",
            "telephone_number": "760-476-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loveleen Sohal
• Maritza Solano
• Solis Pharmacy Inc (Carlsbad Village Pharmacy)
• Maria Chrisitna Solitaria
• Sollus Psychiatry a Professional Corporation
• Natalie Song
• Sonus-USA, Inc.
• Isaiah Angel Soria
• Elizabeth Sotelo
• Karif Sotelo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.