Individual provider Active NPI

Philip Taunton, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1871570945
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10995T Issued in CA
Practice address
3939 3Rd Ave
San Diego, CA 92103-3002
Phone
(619) 243-0629
Fax
(619) 692-0229
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 10995T CA Primary

Addresses

Primary practice location

3939 3Rd Ave
San Diego, CA 92103-3002

Mailing address

3939 3Rd Ave
San Diego, CA 92103-3002
Phone (619) 243-0629

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
I20100219000695 CA Practitioner - Optometry 4880738467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10995TCAMDOptometrist
10995CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute a Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Scripps Health Past Accepting new patients

Locations

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

9834 Genesee Ave
Ste 428
La Jolla, CA 92037
Phone (858) 404-0220

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ptaunton@pacificeyelaser.intellechartdirect.net

Organizations & group practices 3

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1871570945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "619-243-0629",
            "fax_number": "619-692-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033002",
            "telephone_number": "619-243-0629",
            "fax_number": "619-692-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUNTON",
        "first_name": "PHILIP",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10995T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.