Individual provider Active NPI

Emily C Sandoc, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1992969794
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13535 Issued in CA
Practice address
5638 Mission Center Rd Ste 103
San Diego, CA 92108-4348
Phone
(619) 295-2900
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13535 CA Primary

Addresses

Primary practice location

5638 Mission Center Rd Ste 103
San Diego, CA 92108-4348

Mailing address

5638 Mission Center Rd Ste 103
San Diego, CA 92108-4348
Phone (619) 295-2900

Other names 1

  • Emily S Lallana Former name

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
I20081114000460 CA Practitioner - Optometry 8224198627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13535CAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Beach Optometric Corporation Optometrist CurrentSince Jun 21, 2025 Accepting new patients
Imperial Valley Optometric Corporation Optometrist CurrentSince Nov 16, 2023 Accepting new patients
Emily Sandoc OD Professional Corporation Optometrist Current Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Total Vision PC Optometrist PastSince Nov 16, 2023 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

812 N Imperial Ave
El Centro, CA 92243
Phone (760) 352-7460

3451 S Dogwood Rd
Ste 1334
El Centro, CA 92243
Phone (760) 336-3003

1555 Palm Ave
Ste A2
San Diego, CA 92154
Phone (619) 297-2020

7007 Friars Rd
Ste 351
San Diego, CA 92108
Phone (619) 291-2020

Organizations & group practices 6

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1992969794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 MISSION CENTER RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084348",
            "telephone_number": "619-295-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 MISSION CENTER RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084348",
            "telephone_number": "619-295-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOC",
        "first_name": "EMILY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LALLANA",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.