Individual provider Active NPI

Videnne Sath, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1851604540
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14102 Issued in CA
Practice address
3412 College Ave
San Diego, CA 92115-7134
Phone
(619) 286-1291
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14102 CA Primary

Addresses

Primary practice location

3412 College Ave
San Diego, CA 92115-7134

Mailing address

3634 Old Cobble Rd
San Diego, CA 92111-4048
Phone (562) 895-1684

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
I20260317001925 CA Practitioner - Optometry 0941783187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3634 Old Cobble Rd
San Diego, CA 92111-4048

PO Box J
Raynham, MA 02767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14102CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Videnne Sath, Optometry Corporation Optometrist CurrentSince Feb 4, 2026 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

3412 College Ave
San Diego, CA 92115
Phone (619) 286-1290

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1851604540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 OLD COBBLE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114048",
            "telephone_number": "562-895-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 COLLEGE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921157134",
            "telephone_number": "619-286-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATH",
        "first_name": "VIDENNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.